Angioplasty, SCAD and STEMI - Cardiovascular Update

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Angioplasty

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A young peripartum woman with Chest Pain

Dr. Smith's ECG Blog

OCTOBER 24, 2019

Spontaneous coronary artery dissection Dissection of a coronary artery may occur in the context of atherosclerosis, or be iatrogennic during angiography or angioplasty. In the absence of these factors it is termed spontaneous coronary artery dissection ( SCAD ). A recent study found that SCAD causes almost 20% of STEMI in young women.

Chest Pain

Chest Pain SCAD STEMI Cardiogenic Shock

A woman in her 30s with sudden chest pain, nausea, and diaphoresis. Was her cardiology management appropriate?

Dr. Smith's ECG Blog

APRIL 8, 2022

There is clearly sufficient STE for STEMI criteria in leads V2 and aVL, but lead I has less than 1.0 mm of STE - thus, technically this ECG does not meet STEMI criteria, although it is a quite obvious OMI. This ECG was immediatel y discussed with the on-call cardiologist who said the ECG was "concerning but not a STEMI."

Chest Pain

Chest Pain SCAD STEMI Blog

A young peripartum woman with Chest Pain

A woman in her 30s with sudden chest pain, nausea, and diaphoresis. Was her cardiology management appropriate?

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