Dr. Smith's ECG Blog

DECEMBER 19, 2023

The commonest causes of MINOCA include: atherosclerotic causes such as plaque rupture or erosion with spontaneous thrombolysis, and non-atherosclerotic causes such as coronary vasospasm (sometimes called variant angina or Prinzmetal's angina), coronary embolism or thrombosis, possibly microvascular dysfunction.

Plaque 127

Plaque Angina Blog Stent 127

Dr. Smith's ECG Blog

AUGUST 9, 2019

Beware crescendo angina in patient with known CAD ST Elevation in aVR Case 7. 7) The 2013 ACC/AHA STEMI guidelines consider this a “STEMI equivalent,” where thrombolytic therapy is not contraindicated (Evidence level B, no specific class of recommendation).(16) Another left main occlusion, but this one shows subendocardial ischemia.

Myocardial Infarction 52

Myocardial Infarction Ischemia STEMI Cardiogenic Shock 52

Dr. Smith's ECG Blog

FEBRUARY 10, 2022

Delayed angiogram found a 95% mid RCA occlusion that was stented. Arch Cardiovasc Dis 2013 Khan AR et al. Notice also that there is new T-wave inversion in III with upright T-wave in aVL, confirming inferior infarction. And notice that the T-waves in V4-V6 are now back down to normal size and "bulk." JAHA 2022 Grosmaitre P et al.

STEMI 40

STEMI Myocardial Infarction Chest Pain Angina 40