@gbiondizoccai@drjohnm Would pts with the classic high risk LM stress test with hypotension on the treadmill and/or arrhythmias/symptoms at low workload be randomized to med therapy? Will anti-anginals and plaque stabilizer meds save them in those moments if they want to exercise beyond 4 METs?
@drGKuftinec Build rapport with patients. Reciprocate with pcpโs and other referalists. Trust what you know & be evidence-based. Certainly donโt be afraid to ask for help on tough cases from either prior attendings/mentors or new colleagues. Good luck Gabi youโll be great!
70F, 2 weeks of intermittent chest tightness and sob for < a minute at rest. Nuc stress 6 mins on Bruce, stopped for fatigue. No ecg ๐บ. Anteroapical ischemia. Coronary spasm or bridge as the culprit? First two shots at baseline, second two after 200 IC nitro ๐
@drsharpdimitri Much appreciated, mi amigo! Great time, will have to hit the links again soon. Itโs been quite a productive run for youโand the brightest days are ahead in residency and beyond. Keep swinging for the greens!โณ๏ธ