Remove 2017 Remove Angina Remove Chest Pain
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Do Stents Make You Feel Better?

Dr. Paddy Barrett

Whether stenting a narrowed coronary artery improves symptoms such as chest pain (angina) or shortness of breath is a very different question. Share Angina The classic definition of angina involves the sensation of tightness in the centre of the chest that is brought on with exertion and is relieved with rest.

Stents 59
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Occlusion/reperfusion through 6 ‘normal’ ECGs

Dr. Smith's ECG Blog

Eur Heart J 2017 Driver BE, Shroff GR, Smith SW. Smith : this proves my impression that the inferior T-waves on the first ECG are hyperacute. But others are not as fortunate, so we should learn from these near misses to better identify signs of occlusion and reperfusion. Arch Cardiovasc Dis 2013 Khan AR et al. Emerg Med J 2017;34(2):119–23.

STEMI 40
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Chest pain followed by 6 days of increasing dyspnea -- what happened?

Dr. Smith's ECG Blog

Scenario 1 : The patient presents with 24 hours of substernal chest pain. Ninety percent of patients with reperfusion attained a maximum T wave negativity of 3 mm or more within 48 hours after the onset of chest pain in the lead that initially displayed the greatest ST segment elevation. Below is his presentation ECG.

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Can you localize the culprit lesion on angiogram without taking ECG findings into account?

Dr. Smith's ECG Blog

Written by Willy Frick A woman in her 60s with very severe hyperlipidemia (LDL >200 mg/dL) presented with acute onset chest pain. She described the pain as moderate in severity, and said it had come and gone several times over the next few hours before ultimately resolving. Her symptoms began while getting off the bus.