Remove Cardiac Arrest Remove Cardiogenic Shock Remove Coronary Angiogram
article thumbnail

Critical Left Main

EMS 12-Lead

It’s judicious, then, to arrange for coronary angiogram. Coronary occlusion, however, might be present concurrently with subendocardial ischemia on the time-zero ECG, or evolve into such. Proximal LAD disease with/without a) and b) It seemed quite apparent that this was an Acute Coronary Syndrome. Coronary Angiogram 1.

Angina 52
article thumbnail

90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

An elderly man with sudden cardiogenic shock, diffuse ST depressions, and STE in aVR Literature 1. We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression. 2 cases of Aortic Stenosis: Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease?