Stenocardia
Модератор: Pyankov Vasily
-
- Сообщения: 220
- Зарегистрирован: Пн авг 13, 2018 5:37 pm
- Откуда: Cedynia Poland
Stenocardia
46 years old woman with atypical chest pain,Exercise test- negative for ischaemia
- Вложения
-
- avi 9.avi
- (3.95 МБ) 528 скачиваний
-
- avi 14.avi
- (3.16 МБ) 472 скачивания
-
- avi 13.avi
- (4.05 МБ) 498 скачиваний
-
- avi 8 3.avi
- LV
- (4.63 МБ) 490 скачиваний
with respect sincerely yours
-
- Сообщения: 1389
- Зарегистрирован: Пт янв 18, 2013 2:00 am
- Откуда: СПб. Покровская больница. Мариинская больница
Re: Stenocardia
LM and LAD flow seems to be OK. Does "avi 13" clip show LCX flow?
avi 9: Is this coronary artery loop (tortuosity) or myocardial bridging?
avi 9: Is this coronary artery loop (tortuosity) or myocardial bridging?
С уважением, Жуковский Николай.
-
- Сообщения: 5564
- Зарегистрирован: Пн ноя 24, 2008 12:59 am
- Откуда: Киров
-
- Сообщения: 220
- Зарегистрирован: Пн авг 13, 2018 5:37 pm
- Откуда: Cedynia Poland
Re: Stenocardia
To exclude m.ischaemicus cordis.Diagnostic was interfered with chronic,heavy alcoholic abuse,dipsomania, I think.
- Вложения
-
- avi 15.avi
- (3.28 МБ) 492 скачивания
-
- avi 10.avi
- PW spectrum of LAD prox
- (1.37 МБ) 489 скачиваний
-
- avi 1.avi
- LV
- (4.55 МБ) 477 скачиваний
with respect sincerely yours
-
- Сообщения: 220
- Зарегистрирован: Пн авг 13, 2018 5:37 pm
- Откуда: Cedynia Poland
Re: Stenocardia
LAD prox course stumbling in the stone
- Вложения
-
- LMCA ostium in inferior tilt
- jpg 5.jpg (84.63 КБ) 5113 просмотров
-
- IMG-205224125 jpg 3.avi
- (218.86 КБ) 497 скачиваний
-
- jpg 4.avi
- (212.75 КБ) 493 скачивания
-
- IMG-204257093 2.jpg (76.4 КБ) 5114 просмотров
-
- 1.jpg (109.93 КБ) 5114 просмотров
with respect sincerely yours
-
- Сообщения: 213
- Зарегистрирован: Вт авг 14, 2018 10:54 am
- Откуда: Poland / Norway
- Контактная информация:
Re: Stenocardia
Aherosclerotic plaque in LMCA ?
-
- Сообщения: 213
- Зарегистрирован: Вт авг 14, 2018 10:54 am
- Откуда: Poland / Norway
- Контактная информация:
Re: Stenocardia
Collaterals in apex ?
-
- Сообщения: 220
- Зарегистрирован: Пн авг 13, 2018 5:37 pm
- Откуда: Cedynia Poland
Re: Stenocardia
This stone seems to do no harm,non obstructive lession on a course of LAD.Incydentaloma,but interested.
LMCA ostium is in inferior tilt,that it makes a possibility of coronary anomalous thinking ,but it is not.
Unfortunately sudden death is that what she experienced.
LMCA ostium is in inferior tilt,that it makes a possibility of coronary anomalous thinking ,but it is not.
Unfortunately sudden death is that what she experienced.
with respect sincerely yours
-
- Сообщения: 220
- Зарегистрирован: Пн авг 13, 2018 5:37 pm
- Откуда: Cedynia Poland
Re: Stenocardia
RV and LV
- Вложения
-
- avi 3.avi
- LV compilation and PW doppler from apex
- (3.79 МБ) 480 скачиваний
-
- avi 2.avi
- LV
- (2.94 МБ) 490 скачиваний
-
- avi 17.avi
- RVOT compilation
- (3.47 МБ) 479 скачиваний
-
- avi 16.avi
- RVOT
- (434.42 КБ) 488 скачиваний
with respect sincerely yours
-
- Сообщения: 220
- Зарегистрирован: Пн авг 13, 2018 5:37 pm
- Откуда: Cedynia Poland
Re: Stenocardia
How do you think,in your eyes,looking at the pictures: Do the flows trigger steal phenomenon?
Coud you tell,without coronarography?
These smalls flames at the apex?
One should pay attention to the low Nyquist limit-40 cm/s
Coud you tell,without coronarography?
These smalls flames at the apex?
One should pay attention to the low Nyquist limit-40 cm/s
- Вложения
-
- avi 7.avi
- Inferior tilt according to Paolo Angelini->LMCA in Blue from left SV and LAD prox in Red
- (891.6 КБ) 468 скачиваний
-
- avi 6.avi
- LV
- (501.19 КБ) 468 скачиваний
-
- avi 5.avi
- LV
- (4.21 МБ) 475 скачиваний
-
- avi 4.avi
- LV compilation
- (3.38 МБ) 495 скачиваний
with respect sincerely yours
-
- Сообщения: 1389
- Зарегистрирован: Пт янв 18, 2013 2:00 am
- Откуда: СПб. Покровская больница. Мариинская больница
Re: Stenocardia
She had an atypical angina, of couse it maight be result of steal phenomenon.
Can I tell about this without agio? Yes, but i can't tell without stress-echo.
In my opinion we can suppose steal based on velocity in LAD and velocity and prolongation of the flow in fistule theoreticaly, but in similare case I will prefe more robust signs. Very intresting question and I pass the floor to you.
Can I tell about this without agio? Yes, but i can't tell without stress-echo.
In my opinion we can suppose steal based on velocity in LAD and velocity and prolongation of the flow in fistule theoreticaly, but in similare case I will prefe more robust signs. Very intresting question and I pass the floor to you.
С уважением, Жуковский Николай.
-
- Сообщения: 220
- Зарегистрирован: Пн авг 13, 2018 5:37 pm
- Откуда: Cedynia Poland
Re: Stenocardia
As I mentioned she died suddenly.
Corresponding article by Carvalho from 2014 year.
I think this suits the case.
Take home message->We see only "The peak of iceberg"
Corresponding article by Carvalho from 2014 year.
I think this suits the case.
Take home message->We see only "The peak of iceberg"
- Вложения
-
- carvalho2014.pdf
- (207.09 КБ) 178 скачиваний
with respect sincerely yours
-
- Сообщения: 220
- Зарегистрирован: Пн авг 13, 2018 5:37 pm
- Откуда: Cedynia Poland
Re: Stenocardia
And some videos with stress and coronarography from this unique article
- Вложения
-
- jeu189supp_video6.avi
- starting picture
- (2.33 МБ) 455 скачиваний
with respect sincerely yours
-
- Сообщения: 220
- Зарегистрирован: Пн авг 13, 2018 5:37 pm
- Откуда: Cedynia Poland
Re: Stenocardia
and others pictures from Carvalho
- Вложения
-
- jeu189supp_video4.avi
- (4.79 МБ) 453 скачивания
-
- jeu189supp_video3.avi
- (4.8 МБ) 443 скачивания
-
- jeu189supp_video2.avi
- (1.17 МБ) 449 скачиваний
-
- jeu189supp_video1.avi
- (1016 КБ) 436 скачиваний
with respect sincerely yours