Aneurysm Article Chest Pain 
Dr. Smith's ECG Blog
JANUARY 27, 2024
Written by Jesse McLaren, comments by Smith A 55 year old with a history of NSTEMI presented with two hours of exertional chest pain, with normal vitals. Smith : Old inferior MI with persistent ST Elevation ("inferior aneurysm") has well-formed Q-waves. What do you think?
Dr. Smith's ECG Blog
SEPTEMBER 27, 2019
An elderly woman presented with chest pain that radiated to the back for several hours. The first troponin returned at 0.099 ng/mL (elevated, consistent with Non-Occlusion MI) Providers were concerned with aortic dissection, so they order a chest aorta CT. Here is here initial ECG: There is only a nonspecific flat T-wave in aVL.
Dr. Smith's ECG Blog
NOVEMBER 17, 2014
This case was recently posted by Tyron Maartens on Facebook EKG club (he agreed to let me post it here), with the following clinical information: "42 year old male with two weeks of intermittent chest discomfort, awoke 4 hours prior to this ECG with a more severe, heavy chest pain (5/10). BP 112/80, SpO2 100%. It is not chronic.
Dr. Smith's ECG Blog
JANUARY 31, 2020
Although diagnostic of MI, it is highly suspicious for " Old inferior MI with persistent ST Elevation" or "inferior aneurysm morphology" because of the well-formed Q-waves and the flat T-waves. To repeat: in contrast, anterior aneurysm is much more easily distinguished from acute MI due to the QS-waves. There are well-formed Q-waves 3.
Dr. Smith's ECG Blog
DECEMBER 18, 2022
Case A 39-year-old male without prior medical history presents with chest pain that started 2 hours prior to presentation. He says that the pain intensity was 10/10 at home but now about 4/10. Despite the clinical stability and decreasing pain, this patient needs an immediate angiogram. Here are his publications.)
Dr. Smith's ECG Blog
OCTOBER 26, 2011
Persistent ST elevation 3 days after a nearly transmural MI portends possible LV aneurysm. This 42 yo diabetic male presented with cough and foot pain. Symptoms have been prolonged but intermittent, and there has been little chest pain, if any. He had been awakened by cough at 3 AM 2 days earlier.
Dr. Smith's ECG Blog
JANUARY 9, 2024
These are all findings that can be expected with left ventricular aneurysm. Many advances in treatment have occurred in the 28 years since this article was published. That said — misdiagnosis of WCT rhythms for the same reasons cited by the authors remains all-too-common — so the lessons put forth in this 1995 article remain relevant.
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