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Episode 31: Diagnostic Dilemma — Syncope + Hypotension

Description 🎙️

Syncope. Shock. Troponin of 3,872. Her ECG looks just like her old one... or does it not? Three days of antibiotics later, the pressors are still climbing. What is missing?

ECG ⚡

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Cath ☠️

Right anterior oblique caudal images obtained via coronary angiography on day 3 of hospitalization. A, Red arrow points to 100% occluded 2nd obtuse marginal artery prior to intervention. B, Red arrow after balloon angioplasty shows partial reconstitution of perfusion.
Right anterior oblique caudal images obtained via coronary angiography on day 3 of hospitalization. A, Red arrow points to 100% occluded 2nd obtuse marginal artery prior to intervention. B, Red arrow after balloon angioplasty shows partial reconstitution of perfusion.

Teaching ✍️