Chest pain, normal ECG, and serial undetectable high sensitivity troponins. Should we do further testing?
Many authors state that if troponins are undetectable and ECG is normal, no further testing should be done. For example, in JACC:…
Normal angiogram one week prior. Must be myocarditis then?
Written by Magnus Nossen The patient in todays case is a 50 year old male. He has a medical hx notable for hypertension, hyperlipidemia and…
What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?
A 70-something female with no previous cardiac history presented with acute chest pain. She awoke from sleep last night…
A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day
This was sent by a colleague. A 34 yo woman with a history of HTN, h/o SVT s/p ablation 2006, and 5 months post-partum presented with…
A man in his 50s with acute chest pain, now resolved, has 2 undetectable troponins. CT Coronary Angiogram?
Written by Pendell Meyers A man in his 50s presented to the ED with chest pain described as pressure, without radiation, acute onset…
This patient with “NSTEMI” was not allowed to go to the cath lab. Then the ED provider obtained an emergent coronary CT angio. What do you think it showed?
Submitted by Shakita Crichlow MD, edits by Meyers A female in her 60s presented with chest pain off and on starting the day before…
Management of MI can be similar to stroke: Use CT angiogram. Don’t depend only on STE on ECG for reperfusion?
This new article from the VERDICT trial may help to change the MI paradigm to OMI-NOMI. Coronary CT Angiography in Patients With…