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Written by Jesse McLaren, with a very few edits by Smith A 60-year-old presented with chestpain. Inferior hyperacute T waves, which have been added to the 2022 ACC consensus on chestpain as a “STEMI equivalent”[3] 3. ST depression in lead AVL differentiates inferior ST-elevation myocardial infarction from pericarditis.
ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Male in 30's, 2 days after Motor Vehicle Collsion, complains of ChestPain and Dyspnea Head On Motor Vehicle Collision. 2016, April 13). Diagnosing myocardial contusion after blunt chest trauma. ST depression. Zangouri, V.,
ECG of pneumopericardium and probable myocardial contusion shows typical pericarditis Male in 30's, 2 days after Motor Vehicle Collsion, complains of ChestPain and Dyspnea Head On Motor Vehicle Collision. ST depression. Myocardial Contusion?
Recall from this post referencing this study that "reciprocal STD in aVL is highly sensitive for inferior OMI (far better than STEMI criteria) and excludes pericarditis, but is not specific for OMI." See this case: Persistent ChestPain, an Elevated Troponin, and a Normal ECG. See this case: A man his 50s with chestpain.
T-wave to ST ratio is greater than 4 in lead V6, making pericarditis unlikely (also there were no symptoms of pericarditis). It turns out that this was a 27 yo African American male who presented with pressure-like (non-pleuritic) chestpain and dyspnea. N Engl J Med 2008;358(19):2016-23. mm in V3, 2.5
Patient 2 : 55 year old with 5 hours of chestpain radiating to the shoulder, with nausea and shortness of breath ECG: sinus bradycardia, normal conduction, normal axis, normal R wave progression, no hypertrophy. This was missed by the treating physician, but the chestpain resolved with aspirin.
days of chestpain that started as substernal and crushing in nature awakening him from sleep and occasionally traveling to right side of neck. The pain was described as constant, worse with deep inspiration and physical activity, sometimes sharp. 2016 Apr 12;67(14):1738-49. He reported 1.5 Circulation. doi: 10.1161/CIR.0000000000001001.
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