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Chest pain and hypotension in a patient who is 3 weeks post STEMI

Dr. Smith's ECG Blog

Below are his presenting STEMI ECG and his post-PCI ECG from 3 weeks prior: Because of the hypotension, chest pain, and T-wave inversions, the physicians were worried about MI, took the patient to the critical care room, and called the cardiologists. Myocardial rupture is usually preceded by postinfarction regional pericarditis (PIRP).