Spontaneous Coronary Artery Dissection
PATIENT STORY Print Section Listen A 38-year-old woman arrived at the emergency department by private car complaining of substernal chest pain and nausea. Symptoms were relieved after administration of 2…
Invasive Testing for Coronary Artery Disease
CORONARY VASCULAR ANATOMY AND AUTOREGULATION OF MYOCARDIAL BLOOD FLOW Print Section Listen The coronary vasculature may be artificially divided into 3 compartments: the epicardial vessels, the coronary microvasculature, and the…
Heavily Calcified Coronary Lesions
PATIENT CASE Print Section Listen A 75-year-old woman was referred to cardiology for evaluation for dizziness. She complains of intermittent dizziness for a year not related to position change, as…
Primary Percutaneous Coronary Intervention in ST-Segment Elevation Myocardial Infarction
PATIENT CASE Print Section Listen A 72-year-old man with prior tobacco use, hypertension, and type 2 diabetes presented to the emergency department with prolonged chest pain (4 hours in duration)….
Fundamentals of Clinical Electrophysiology
Figure 3-1: Explanation Print Section Listen Figure 3–1A A 30-year-old man with a history of PSVT undergoes electrophysiologic study. During ventricular pacing several electrophysiologic phenomena occur. How many can you…
Coronary Revascularization in Stable Angina
PATIENT CASE Print Section Listen A 54-year-old man presents with a 3-month history of progressive chest pain. He describes a band-like retrosternal heaviness that is brought on by walking more…
Transradial Coronary Procedures
PATIENT CASE Print Section Listen A 48-year-old male hypertensive smoker with no previous heart disease but a strong family history of coronary artery disease developed epigastric discomfort similar to “indigestion.”…
Wide QRS Complex Tachycardia
Figure 5-1: Explanation Print Section Listen Figure 5–1A A 33-year-old man with a history of recurrent palpitations and documented wide QRS tachycardia undergoes electrophysiologic evaluation. His 12-lead ECG is normal….
Narrow QRS Tachycardia
Figure 4-1: Explanation Print Section Listen Figure 4–1A A 35-year-old woman with a history of palpitations and supraventricular tachycardia was noted to be in this rhythm after catheters were placed…
Catheter Ablation
Figure 6-1: Explanation Print Section Listen Figure 6–1A The patient had electrophysiologic assessment for WPW and recurrent SVT. AVRT over a posteroseptal AP was found with earliest atrial activation during…
