A 38 year old male presents to OPD with history of progressive sholess of breath since 2 weeks.He gives past history of type II diabetes mellitus. An echocardiogram was done which revealed , an EF of 25% with anterior, septal, and lateral wall motion defects.He is admitted to the ward and stabilized on furosemide, spironolactone, bisoprolol, and ramipril. What would be the next investigation in course of management ?
Echocardiogram is a screening tool in Emergency depament for looking at wall motion abnormalities . Angiography -Gold standard investigation to assess anatomy, physiology of hea -To assess the vasculature abnormalities. -To evaluate extent and severity of cardiac disease in symptomatic individuals Indications of Angiography: Asymptomatic or Symptomatic Ventricular tachycardia Symptomatic Acute Coronary Syndrome Chest pain syndromes STEMI Congestive Hea failure Pericardial disease Cardiac Transplantation
Endomyocardialbiopsy
Angiogram
Viraltitres
Exercise tolerancetest
Emergency Clinical Scenario