Cardiac Arrest Chest Pain Stent 
Dr. Smith's ECG Blog
OCTOBER 24, 2013
He underwent coronary stenting (uncertain which artery). There is no way to tell the difference between GI etiology of chest pain and MI. Such T-waves are almost always reciprocal to ischemia in the region of aVL (although aVL looks n ormal here) , and in a patient with chest pain are nearly diagnostic of ischemia.
Dr. Smith's ECG Blog
NOVEMBER 23, 2022
Case submitted by Rachel Plate MD, written by Pendell Meyers A man in his 70s presented with chest pain which had started acutely at rest and has lasted for 2 hours. The pain was still ongoing at arrival. His initial troponin T was 15 ng/L (only two hours since pain onset). He stated it was similar to prior heart attacks.
Dr. Smith's ECG Blog
OCTOBER 3, 2017
This is another case written by Pendell Meyers (who is helping to edit the blog and has many great recent posts) Case A 45 year old man was driving to work when he experienced acute onset sharp left sided chest pain with paresthesias of the left arm. A repeat ECG was recorded with pain 2/10: Not much change.
Dr. Smith's ECG Blog
JULY 14, 2010
A 56 yo f with h/o HTN and hypercholesterolemia called EMS from home after onset of L chest pain radiating to the left arm. Pressors were required, and the patient was transported to the cath lab with a door to balloon time of 60 minutes, where a proximal dominant RCA occlusion was opened and stented. She was intubated.
Dr. Smith's ECG Blog
JUNE 11, 2021
Jesse McLaren (@ECGcases), of Emergency Medicine Cases Reviewed by Pendell Meyers and Steve Smith An 85yo with a history of hypertension developed chest pain and collapsed, and had bystander CPR. On arrival, GCS was 13 and the patient complained of ongoing chest pain. So the RCA was stented.
Dr. Smith's ECG Blog
SEPTEMBER 4, 2016
Case A 47 year old male called 911 for severe chest pain. He had a previous MI with cardiac arrest 2 years prior. It was opened and stented. A woman in her 60s with no prior history of CAD presented with 3 hours of sharp, centrally located chest pain with radiation to the anterior neck, with associated nausea.
Dr. Smith's ECG Blog
JUNE 23, 2024
Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. However, he did not remember much from the day of the arrest. He did not remember whether he had experienced any chest pain. Lesions less than 70% are generally considered to be non-flow limiting.
Expert insights. Personalized for you.
52 
Let's personalize your content