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Teenager with chest pain and slightly elevated troponin. What happens then?

Dr. Smith's ECG Blog

The pediatric team felt it might be ACS, but on review of his prior ECGs, it was thought to be really unchanged from the 2 prior and more consistent with myocarditis. Echo does not necessarily differentiate acute MI from pericarditis: both may have wall motion abnormalities. What I find interesting here is the new Q-wave in lead III.

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OMI in a pediatric patient? Teenagers do get acute coronary occlusion, so don't automatically dismiss the idea.

Dr. Smith's ECG Blog

Acute coronary syndrome in a pediatric patient? An ECG was perfomed on arrival to our ED: NSR with ST elevation II,III, aVF with reciprocal depression in aVL Would you refer this pediatric patient for emergent PCI? World J Pediatr. The workup at the transferring hospital yielded elevated troponin I at 18.1 Epub 2021 May 20.