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Chest Pain, ST Elevation, and an Elevated Troponin: Should we Activate the Cath Lab?

Dr. Smith's ECG Blog

However, old MI w/aneurysm morphology (persistent ST-Elevation) can look just like this. While this may be change that is reciprocal to an Acute/Subacute Inferior STEMI, the problem is that LV aneurysm may also manifest with this reciprocal change. Old MI w/Aneurysm will show moderate ST Elevation, as seen here.

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Nausea and Vomiting. This ECG is loaded with information.

Dr. Smith's ECG Blog

A middle-aged diabetic dialysis patient presented with 24 hours of nausea and vomiting associated with ~6 pound weight loss. It was opened and stented. This may be permanent and may be associated with echocardiographic dyskinesis (aneurysm). Patient stated his dry weight is around 85 kg. The emesis is non-bloody and non-bilious.

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Four anterior STEMIs: acute and reperfused vs. won't reperfuse, subacute and reperfused vs. not reperfused

Dr. Smith's ECG Blog

This 57 yo diabetic male presented with generalized fatigue, myalgias, and arthralgias , mild subjective fever and chills, and nausea. 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. An open 90% LAD was stented.

STEMI 52
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Abstract 114: “Failing” DAPT? Think Again

Stroke: Vascular and Interventional Neurology

This unique case highlights the diagnostic and therapeutic challenges of a patient with multiple vascular risk factors who suffered from strokes secondary to BHS.MethodsA 79‐year‐old man with a past medical history of peripheral artery disease, abdominal aortic aneurysm, myocardial infarction with drug eluding stents (on dual antiplatelet therapy (DAPT)), (..)

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Cardiovascular Updates from the ESC Congress 2024 

Cardiometabolic Health Congress

INFINITY-SWEDEHEART Trial: This randomized controlled trial, developed by Elixir Medical, compared the DynamX® Coronary Bioadaptor System with the Resolute Onyx drug-eluting stent. This debate underscored the growing role of CSP despite the current limited evidence supporting it.

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Prehospital activation: De-activated on ED arrival by Cardiologist because "It's not a STEMI"

Dr. Smith's ECG Blog

He carries the diagnoses hyperlipidemia, hypertension, and diabetes. No thoracic aortic hematoma, aneurysm or dissection. First obtuse marginal also had an 80% stenosis and was stented. He presented to the ED for evaluation chest pain. Pain was improved but not gone upon arrival. CT Angio Chest IMPRESSION 1.

STEMI 121