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A young peripartum woman with Chest Pain

Dr. Smith's ECG Blog

Troponins, echocardiogram An echocardiogram showed inferobasilar hypokinesis, further supporting a diagnosis of regional ischemia , likely of the area supplied by the RCA. The biphasic T wave is consistent with recent reperfusion of an occluded coronary artery supplying the inferior region. The initial troponin I was elevated at 0.75

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A Tough ECG, But Learn From It!

Dr. Smith's ECG Blog

On echocardiogram, there was a 40% ejection fraction with anterior wall motion abnormality. Impact of delay to angioplasty in patients with acute coronary syndromes undergoing invasive management: analysis from the ACUITY (Acute Catheterization and Urgent Intervention Triage strategY) trial. The peak troponin I was over 100.

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