Mayo Clinic Microvascular Decompression Trigeminal Neuralgia Surgery Vlog

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http://youtube.com/watch?v=Kupxp-5iGYE

A Cardiovascular Images article (https://ja.ma/2sEMGG4) from JAMA Cardiology looks at a woman in her 40s with an unremarkable medical history who presented to the emergency department for midsternal, pressurelike chest pain. Although she was stable on room air (blood pressure, 140/70 mm Hg; heart rate, 90 beats per minute), the pain persisted despite nitroglycerin administration. Workup results revealed elevated troponin I levels that rose from 0.38 ng/mL (to convert to micrograms per liter, multiply by 1) to 51.00 ng/mL, with ST-segment depression at the inferior leads. Transthoracic echocardiogram results indicated normal cardiac function and structure. The Coronary angiogram results, shown in this video, ruled out obstructive atherosclerosis but showed significant hypoperfusion at the mid–left anterior descending artery, pronounced during systole and early diastole. These findings suggested an intramyocardial bridge that was causing myocardial ischemia. • Read the full article here: https://ja.ma/2sEMGG4.

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