Remove 2017 Remove Chest Pain Remove Stent
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A 50-something male with acute chest pain

Dr. Smith's ECG Blog

male was sitting at a work conference when he began having substernal chest pain with diaphoresis. The pain was 7 out of 10 when this ECG was recorded: The QTc = 375 What do you think? Here is the post stent ECG: This is probably the amount of ST elevation (zero) that this patient has at baseline.

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Should Emergency Physicians be interrupted by ECGs that are read as "Normal" by the computer?

Dr. Smith's ECG Blog

This was sent by : Jacob Smith, DO Emergency Medicine Resident Ohio Health Doctors Hospital Emergency Residency Christopher Lloyd, DO, FACEP Director of Clinical Education, USACS Midwest Case A 30 year old patient presents to triage with chest pain. link] Here is the history: A 30 yo man presented complaining of severe chest pain.

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12 Example Cases of Use of 3- and 4-variable formulas, plus Simplified Formula, to differentiate normal STE from subtle LAD occlusion

Dr. Smith's ECG Blog

J Electrocardiology 50(5):561-569; September/October 2017. This is the initial ED ECG of a 46 year old male with chest pain: The QTc was 420 ST Elevation at 60 ms after the J-point in lead V3 = 2.5 ng/ml) A 45 year old male called 911 for chest pain: The QTc was 400 ST Elevation at 60 ms after the J-point in lead V3 = 3.5

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50 Shades of T

EMS 12-Lead

Factors consistently manifesting as such, in addition to chest pain, include, diaphoresis, vomiting, radiation of pain (most alarming when inclusive of both arms), and pain aggravated by exertion. [1] Troponin I returned 80 ng/mL, and the Cath Lab was then reactivated where a 100% LAD occlusion was found and stented.

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Hypertrophic Cardiomyopathy

EMS 12-Lead

Cardiology felt her chest pain to be, most likely, the result of coronary supply-demand mismatch in the context of HCM endothelial remodeling (i.e. A mid-LAD culprit lesion was identified and stented. Below are two examples of this. Type II MI), however decided to pursue coronary angiogram out of an abundance of caution.

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30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion.

Dr. Smith's ECG Blog

It was stented. 12 Example Cases of Use of 3- and 4-variable formulas, plus Simplified Formula, to differentiate normal STE from subtle LAD occlusion 3. . == == MY Comment by K EN G RAUER, MD ( 10/23/2020 ): == There are a number of important lessons worthy of repeating from today's repost of our case from March 28, 2017.

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Occlusion/reperfusion through 6 ‘normal’ ECGs

Dr. Smith's ECG Blog

Delayed angiogram found a 95% mid RCA occlusion that was stented. 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. Notice also that there is new T-wave inversion in III with upright T-wave in aVL, confirming inferior infarction.

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