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Home > Archive > Medicine transcription > January 2005 > Cardiac cath question
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Cardiac cath question
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| Anne Vasquez 2005-01-31, 11:16 am |
| In listing the hemodynamic data from a cardiac cath, the doc has
dictated aortic pressures pre and post left ventriculogram; what he
normally gives are the left ventricular pressures. Does anyone know if
they do pre and post LV-gram aortic pressures or whether he may have
dictated this in error? (He never does give left ventricular pressures
in this particular dictation, which makes me wonder even more...)
Thanks!
Anne
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| 14tonks 2005-01-31, 11:16 am |
| What's the patient's diagnosis? There are certainly some cases when aortic
pressure pre and post stress (LVgram) would be of interest.
--
Sheila
To reply to me, add the prefix real. to my address.
"Anne Vasquez" <annevasquez@NOSPAMhotmail.com> wrote in message
news:7byKd.25174$iC4.22000@newssvr30.news.prodigy.com...
> In listing the hemodynamic data from a cardiac cath, the doc has
> dictated aortic pressures pre and post left ventriculogram; what he
> normally gives are the left ventricular pressures. Does anyone know if
> they do pre and post LV-gram aortic pressures or whether he may have
> dictated this in error? (He never does give left ventricular pressures
> in this particular dictation, which makes me wonder even more...)
>
> Thanks!
>
> Anne
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| Anne Vasquez 2005-01-31, 11:16 am |
| Indications were known CAD, previous CABG in 1995, and several weeks of
progressive angina and abnormal stress echocardiogram.
These were the conclusions the doc arrived at:
1. Normal left ventricular size and vigorous systolic function,
estimated LVEF 75-80%.
2. No regional wall motion abnormalities.
3. Mild elevation of left ventricular end-diastolic pressure post A wave.
4. Severe native coronary artery disease:
a. Complete occlusion of the proximal LAD.
b. Complete occlusion of the proximal dominant right coronary artery
just beyond its ostium.
5. Bypass graft patency as follows:
a. Patent left internal mammary artery to the mid LAD with a concentric
40% stenosis at the surgical anastomosis.
b. Patent sequential saphenous vein bypass graft to first and second
diagonal branch vessels.
c. Occluded saphenous vein graft to the distal right coronary artery.
6. Collaterals from the left coronary artery and diagonal branch
vessels fill the distal right coronary artery vessels.
I think I'll just leave it as dictated and flag it. He may very well
mean what he said, as he's usually very meticulous in his dictation, but
it's different from his normal format.
Thanks!
Anne
14tonks wrote:
> What's the patient's diagnosis? There are certainly some cases when aortic
> pressure pre and post stress (LVgram) would be of interest.
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| 14tonks 2005-01-31, 11:16 am |
| He might have been checking to see if there was LVOT obstruction as a result
of the hyperdynamic LV, although he probably should have given you LV
pressure as well in that case. OTOH, maybe he just wanted to show there
was/wasn't decreased coronary filling pressure post stress due to outflow
obstruction, given the degree of coronary disease. I would go along with
flagging as you decided though--it is not his normal dictation, and you
aren't a mind reader.
--
Sheila
To reply to me, add the prefix real. to my address.
"Anne Vasquez" <annevasquez@NOSPAMhotmail.com> wrote in message
news:wCyKd.25182$iC4.20524@newssvr30.news.prodigy.com...[vbcol=seagreen]
> Indications were known CAD, previous CABG in 1995, and several weeks of
> progressive angina and abnormal stress echocardiogram.
>
> These were the conclusions the doc arrived at:
>
> 1. Normal left ventricular size and vigorous systolic function,
> estimated LVEF 75-80%.
> 2. No regional wall motion abnormalities.
> 3. Mild elevation of left ventricular end-diastolic pressure post A wave.
> 4. Severe native coronary artery disease:
> a. Complete occlusion of the proximal LAD.
> b. Complete occlusion of the proximal dominant right coronary artery
> just beyond its ostium.
> 5. Bypass graft patency as follows:
> a. Patent left internal mammary artery to the mid LAD with a concentric
> 40% stenosis at the surgical anastomosis.
> b. Patent sequential saphenous vein bypass graft to first and second
> diagonal branch vessels.
> c. Occluded saphenous vein graft to the distal right coronary artery.
> 6. Collaterals from the left coronary artery and diagonal branch
> vessels fill the distal right coronary artery vessels.
>
> I think I'll just leave it as dictated and flag it. He may very well
> mean what he said, as he's usually very meticulous in his dictation, but
> it's different from his normal format.
>
> Thanks!
>
> Anne
>
>
> 14tonks wrote:
>
aortic[vbcol=seagreen]
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