Atherosclerosis, SCAD and STEMI - Cardiovascular Update

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

1 hour of CPR, then ECMO circulation, then successful defibrillation.

Dr. Smith's ECG Blog

MAY 19, 2020

This is a troponin I level that is almost exclusively seen in STEMI. So this is either a case of MINOCA, or a case of Type II STEMI. If the arrest had another etiology (such as old scar), and the ST elevation is due to severe shock, then it is a type II STEMI. I believe the latter (type II STEMI) is most likely.

Defibrillator

Defibrillator Circulation Plaque Cardiac Arrest

Cardiovascular Update

A young peripartum woman with Chest Pain

1 hour of CPR, then ECMO circulation, then successful defibrillation.

Webinars

Stay Connected