Comment to 'a 49-year-old female with PMH of hypertension, Type II diabetes,...'
  • I do not think her symptoms of chest pain are related but certainly her dyspnea could be.

    12-lead EKG showed sinus rhythm, left atrial enlargement and left anterior fascicular block (LAFB).

    Coronary angiogram showed right dominant circulation . Coronary arteries ectasia with right to left collaterals. Coronary CTA might be helpful.

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    • will wait for more answers and I will post the CT for you

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    ScrubdIn

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