In Depth Diagnosis: A Case Of Exercise Associated Collapse

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In Depth Diagnosis: A Case Of Exercise Associated Collapse - Page #3

Lab Studies: Troponin I (normal is Other Studies: Electrocardiogram (ECG): Normal athletic variant with incomplete right bundle branch block, early repolarization and RSR' pattern. Case Photo #1 . CT Coronary Angiogram: Long segment of myocardial bridging 2.04 mm deep and 44.6 mm in length starting in the mid-LAD just distal to the 1st diagonal branch extending to the distal LAD. Case Photo #2 Case Photo #3 Treadmill Stress Test: Positive stress test with ECG evidence of ischemia with clinically induced angina (patients symptoms included chest pain, shortness of breath, and lightheadedness). Echocardiogram: Normal with no evidence of hypertrophic cardiomyopathy or structural abnormality. Cardiac catheterization: Significant myocardial bridging of mid-LAD and when stressed had elevated index of microvascular resistance and left coronary flow. Consultations: Cardiology Neurology Sleep Medicine Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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