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Right precordial ST depression in a patient with chest pain

Dr. Smith's ECG Blog

A 70-year-old man calls 911 after experiencing sudden, severe chest pain. New electrocardiographic criteria for posterior wall myocardial ischemia validated by percutaneous transluminal coronary angioplasty model of acute myocardial infarction. This case comes from Sam Ghali ( @EM_RESUS ). Thanks, Sam! O'Gara et al.

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A Tough ECG, But Learn From It!

Dr. Smith's ECG Blog

This was my thought: if this patient presented to the ED with chest pain, then this is an LAD occlusion. Usefulness of automated serial 12-lead ECG monitoring during the initial emergency department evaluation of patients with chest pain. For clarity in Figure-1 — I've labeled the initial ECG in this June 18, 2013 post.

STEMI 52
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How does Acute Total Left Main Coronary occlusion present on the ECG?

Dr. Smith's ECG Blog

His comments/questions are inserted below the ECG: A 50-something woman presented with 3 days of intermittent chest pain that became worse on the day of presentation, with diaphoresis and radiation to the left arm, as well as abdominal pain. This is her ECG: An obvious STEMI, but which artery? Widimsky P et al.