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Written by Willy Frick with edits by Ken Grauer A woman in her 70s with a history of hypertension presented with acute onset shortness of breath. Taking a step back , remember that sinus tachycardia is less commonly seen in OMI (except in cases of impending cardiogenicshock). Her ECG is shown below: What do you think?
My answer: "This is classic for PE, but it can also be present in any hypoxia due pulmonary hypoxic vasoconstriction and resulting acute pulmonary hypertension and acute right heart strain. Tachycardia is unusual in ACS unless there is cardiogenicshock or a second simultaneous pathology. This is NOT Wellens. The answer was yes.
Methods Using the National Inpatient Sample data from 2016 to 2020, we identified adult patients (≥18 years) with acute coronary syndrome (ACS) and TC. We reviewed the characteristics and in-hospital outcomes and developed a novel risk score for TC. We divided the cohort into ACS with and without TC and retrieved baseline data.
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