Filtered By:
Procedure: Angiography
This page shows you your search results in order of relevance. This is page number 13.
Order by Relevance | Date
Total 8742 results found since Jan 2013.
Ultrasound-Guided Popliteal Sciatic Block Provides Adequate Analgesia During Urgent Endovascular Treatment of Critical Limb Ischemia with Resting Pain
ConclusionsUltrasound-guided popliteal sciatic block is a feasible and safe alternative for providing adequate analgesia during urgent endovascular treatment of critical limb ischemia with resting pain.Level of EvidenceLevel 4, case series.
Source: CardioVascular and Interventional Radiology - October 16, 2017 Category: Radiology Source Type: research
Early Results of Transcatheter Arterial Embolization for Relief of Chronic Shoulder or Elbow Pain Associated with Tendinopathy Refractory to Conservative Treatment
Conclusions Transcatheter arterial embolization may be an option for relieving pain associated with chronic shoulder and elbow tendinopathy refractory to conservative treatment. The degree of angiographic enhancement might be a possible factor affecting the degree of pain relief after embolization.
Source: Journal of Vascular and Interventional Radiology - February 22, 2018 Category: Radiology Source Type: research
Atypical presentation of acute coronary syndrome (ACS): a case report.
Discussion Atypical presentation of ACS can range from non-chest pain to an epileptic seizure. Risk factors for atypical presentation include female gender, old age, comorbidities and severe mental illness. Troponin testing plays a central role when confronted with ACS but has only limited added-value with non-chest pain ACS. In cohort studies 1-2.2% of diagnosis of ACS is missed by emergency physicians. Possible explanations include atypical symptoms, non-diagnostic ECG and failure to interpret subtle ECG changes. ACS without chest pain frequently gets underdiagnosed and undertreated, which leads to more complications and...
Source: Pain Physician - April 6, 2018 Category: Anesthesiology Authors: Van Damme A, Vanderheeren P, De Backer T, Desimpel F Tags: Acta Clin Belg Source Type: research
Acute chest pain in a patient with cardiomyopathy and a paced rhythm.
A 70-something with h/o cardiomyopathy, ICD, LVH was awoken with sharp chest pain, 8/10, non-radiating. It worsened through the morning and she was eventually brought to the hospital.An ECG was recorded:What do you think?Here is one from 3 years prior:There is a paced rhythm in all 12 leads. The new ECG has new ST Elevation that meets the Smith modified Sgarbossa criteria in leads I, aVL, and V2. (ST elevation at the J-point is at least 25% of the depth of the preceding S-wave). Meeting the criteria in just one lead is very specific for OMI in paced rhythm.She was given aspirin, ticagrelor, and...
Source: Dr. Smith's ECG Blog - May 12, 2019 Category: Cardiology Authors: Steve Smith Source Type: blogs
A patient with abdominal pain associated with alcohol withdrawal and alcoholic ketoacidosis
While at work, one my partners showed me this ECG of a 50-something woman with abdominal pain associated with alcohol withdrawal and alcoholic ketoacidosis. There was no reported chest pain or SOB.What do you think?I said it " looks like takotsubo. Electrolytes might contribute. Are they back yet? (they were not). I do not think this is a coronary event. "He asked why.I responded: " bizarre T-waves, with T-wave inversion and extremely long QT. The computer measures the QT at 506 ms, but it really is more like 560-580 ms, with a QTc of 600-620 ms. This is not at all typical of ACS but ver...
Source: Dr. Smith's ECG Blog - March 24, 2020 Category: Cardiology Authors: Steve Smith Source Type: blogs
A man in his 60s with chest pain. The ST segments and T waves are ALWAYS interpreted in the context of their QRS.
Written by Pendell MeyersA man in his 60s with history of CAD, CABG, HTN, DM, and smoking presented with chest pain,and shortness of breath over the past 1 hour, and a mild cough over the past few days, of course asking for COVID testing.Here is his ECG on presentation (shown to me with no information):What do you think?Raw Findings: - RBBB (some will also say LPFB) - Negative T-waves in V1-V3 - STD in V1-V6, I, aVL - STE in aVR - V2 has strange QRS morphology that does not seem to fit in the progression between V1 and V3, possibly lead misplacementInterpretation:In the context of RBBB, it is norma...
Source: Dr. Smith's ECG Blog - April 12, 2020 Category: Cardiology Authors: Pendell Source Type: blogs
Dynamic ST Change in a mid-50s Man with Chest Pain
===================================MY Comment by KEN GRAUER, MD (8/21/2020):===================================The patient is a mid-50s man who presented to the ED for new-onset chest pain of ~1 hour duration. His symptoms awakened him from sleep. He was still having chest pain in the ED at the time ECG #1 was done (Figure-1).QUESTION:HOW would YOU interpret his initial ECG that is shown in Figure-1?Figure-1: The initial ECG in this case (See text).MY THOUGHTS on ECG #1: Although significant baseline artifact is seen (especially in the limb leads) — the tra...
Source: Dr. Smith's ECG Blog - August 21, 2020 Category: Cardiology Authors: ECG Interpretation Source Type: blogs
Role of cardiac nuclear stress perfusion exam after computed tomographic coronary angiogram for evaluation of obstructive coronary artery disease in patients with chest pain.
Conclusions: In low-to-intermediate risk patients with chest pain and evidence of non-critical coronary artery stenosis (i.e., less than 70% stenosis) diagnosed on CCTA, a follow-up cardiac nuclear perfusion imaging is of limited value.
PMID: 33145083 [PubMed]
Source: Journal of Thoracic Disease - November 5, 2020 Category: Respiratory Medicine Tags: J Thorac Dis Source Type: research
Typical chest pain and hypotension, Activate the Cath lab?
I was texted this ECG with the info that the patient " clinically looked like he was having a myocardial infarction " :What do you think?There is atrial and ventricular pacing. Both spikes are best seen in V1 and V2 (as always, if you click on the image, it enlarges). The QRS is very very wide. On the image below, I have drawn lines in every lead from the QRS onset (blue) and QRS end (red). I measure the QRS duration at about 280 ms. Of course, all ventricular paced rhythm is wide, but not often this wide. One must always consider hyperkalemia when the QRS is very wide, but the K turned ...
Source: Dr. Smith's ECG Blog - January 17, 2021 Category: Cardiology Authors: Steve Smith Source Type: blogs
A man in his early 40s with chest pain: STD in V1-V4, but posterior lead are negative
This study by Shah et al. shows that the STD of subendocardial ischemia (in contrast to posterior OMI) is maximal in V5 and V6.Shah A, Wagner GS, Green CL, et al. Electrocardiographic differentiation of the ST-segment depression of acute myocardial injury due to the left circumflex artery occlusion from that of myocardial ischemia of nonocclusive etiologies. Am J Cardiol [Internet] 1997;80(4):512 –3. Available from: https://europepmc.org/article/med/9285669However, STD in V1-V4 can occasionally be due to subendocardial ischemia. If posterior leads also show ST depression, then subendocardial ischemia is probable!!&...
Source: Dr. Smith's ECG Blog - February 14, 2021 Category: Cardiology Authors: Pendell Source Type: blogs
Nutcracker phenomenon presenting as loin pain haematuria syndrome
NDT Plus. 2011 Dec;4(6):418-20. doi: 10.1093/ndtplus/sfr152.ABSTRACTA 19-year-old female presented with bilateral severe loin pain associated with recurrent macroscopic haematuria. A provisional diagnosis of loin pain haematuria syndrome was made; the severity and frequency of pain led to referral to the pain management service. Alternative diagnoses were considered. Although previous reports of obstruction of the left renal vein have not described pain of this severity, magnetic resonance angiography was performed; it showed obstruction of the left renal vein as it passed between the superior mesenteric artery and aorta, ...
Source: NDT Plus - May 19, 2015 Category: Urology & Nephrology Authors: Holly B Vince Charles R Tomson Eric J Loveday Paul A Lear John B Eastwood Source Type: research
