AFIB Chest Pain Stents 
Dr. Smith's ECG Blog
JULY 14, 2024
Sent by anonymous, written by Pendell Meyers Case 1: A man in his 50s presented with acute chest pain. The cath lab was activated, and then not cancelled, and the angiogram showed 99% TIMI 2 flow proximal LAD culprit lesion, stented in less than 90 minutes of arrival. Normal vital signs. Normal vitals. What do you think?
Dr. Smith's ECG Blog
SEPTEMBER 24, 2023
A 50 something male was seen in the emergency room due to typical chest pain. The pain had started the same day about two hours prior to medical contact. The medical care providers ascribed the patient's chest pain to new onset atrial fibrillation with rapid ventricular response after having viewed the ECG.
Dr. Smith's ECG Blog
JANUARY 9, 2024
The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement. She presented to the emergency department after a couple of days of chest discomfort. The patient also has a history of AFib and HFmrEF ( = H eart F ailure with M inimally- R educed E jection F raction ).
Dr. Smith's ECG Blog
NOVEMBER 23, 2024
1) Very high initial troponin of 45,000 ng/L 2) A full day of chest pain 3) Q-waves on the ECG, with some T-wave inversion Here is one frame of the CT scan which includes the heart: Can you spot the infarct? It was opened and stented. SUBACUTE) OMI, that would result in an undesirable delay. How do I know?
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