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Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chestpain without associated symptoms. A prospective validation of the HEART score for chestpain patients at the emergency department. Int J Cardiol 2013 2. Shin YS, Ahn S, Kim YJ.
link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chestpain. He described it as "10/10" intensity, radiating across his chest from right to left. This is written by Willy Frick, an amazing cardiology fellow in St.
His comments/questions are inserted below the ECG: A 50-something woman presented with 3 days of intermittent chestpain that became worse on the day of presentation, with diaphoresis and radiation to the left arm, as well as abdominal pain. Beware crescendo angina in patient with known CAD ST Elevation in aVR Case 7.
Arch Cardiovasc Dis 2013 Khan AR et al. Smith : this proves my impression that the inferior T-waves on the first ECG are hyperacute. But others are not as fortunate, so we should learn from these near misses to better identify signs of occlusion and reperfusion. JAHA 2022 Grosmaitre P et al. Eur Heart J 2017 Driver BE, Shroff GR, Smith SW.
Scenario 1 : The patient presents with 24 hours of substernal chestpain. Ninety percent of patients with reperfusion attained a maximum T wave negativity of 3 mm or more within 48 hours after the onset of chestpain in the lead that initially displayed the greatest ST segment elevation. Below is his presentation ECG.
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