Cardiac Arrest, Coronary Angiogram and Plaque

Critical Left Main

EMS 12-Lead

JULY 24, 2023

Category 1 : Sudden narrowing of a coronary artery due to ACS (plaque rupture with thrombosis and/or downstream showering of platelet-fibrin aggregates. It’s judicious, then, to arrange for coronary angiogram. Proximal LAD disease with/without a) and b) It seemed quite apparent that this was an Acute Coronary Syndrome.

Angina

Angina Ischemia Coronary Angiogram Stenosis

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

NOVEMBER 4, 2022

We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression. All electrocardiograms (ECGs) and coronary angiograms were blindly analyzed by experienced cardiologists. Results Emergent angiography was performed in 80% (79/99) of patients.

Ischemia

Ischemia STEMI Stenosis Chest Pain

Cardiovascular Update

Critical Left Main

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

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