Remove 2013 Remove Pericarditis Remove STEMI
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Chest pain followed by 6 days of increasing dyspnea -- what happened?

Dr. Smith's ECG Blog

.: 50% of LAD STEMI have Q-waves by one hour. The exception is with postinfarction pericarditis , in which a completed transmural infarct results in inflammation of the subepicardial myocardium and STE in the distribution of the infarct, and which results in increased STE and large upright T-waves. So it is not necessarily subacute.

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Syncope, chest pain, and inferior ST Elevation with Reciprocal ST depression in aVL

Dr. Smith's ECG Blog

Smith : I recognize this as a STEMI mimic. Although this is not a common phenomenon You will see it on occasion ( See the June 30, 2023 post the November 27, 2023 post and the July 24, 2013 post in Dr. Smith's ECG Blog ). Here is his ECG: There is significant ST Elevation in inferior leads, with reciprocal ST depression in aVL.