Cardiac Arrest Chest Pain Stents 
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.
Dr. Smith's ECG Blog
NOVEMBER 19, 2014
A male in late middle age with a history of RCA stent 8 years prior complained of chest pain. Here are three more dramatic cases that illustrate RBBB + LAFB Case 1 of cardiac arrest with unrecognized STEMI, died. EMS recorded the following ECG: What do you see?
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
FEBRUARY 25, 2009
He was at the gym when he had the onset of chest pain. A stent was placed, and the patient had an excellent outcome with no wall motion abnormality. Were it not for this prehospital ECG and the cardiac arrest, the diagnosis may have been significantly delayed. This patient is 38 years old with hyperlipidemia.
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