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Submitted by anonymous, written by Pendell Meyers A woman in her 50s presented to the Emergency Department with chestpain and shortness of breath that woke her from sleep, with diaphoresis. See these other cases of arterial pulse tapping artifact: A 60 year old with chestpain Are these Hyperacute T-waves?
Case presentation:A 64-year-old man presented with one day of chestpain. Electrocardiogram (EKG) was unremarkable. A repeat coronaryangiogram was unremarkable. Circulation, Volume 150, Issue Suppl_1 , Page A4135360-A4135360, November 12, 2024.
Smith , d and Muzaffer Değertekin a DIFOCCULT: DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction. International Journal of Cardiology Heart & Vasculature Case A 40-year-old man presents with excruciating back pain which has started 1 hour ago.
He has never had any chestpain. Explanation: Shown electrocardiogram suggests left ventricular hypertrophy. Shown electrocardiogram suggests left ventricular hypertrophy. He has no known prior medical history and does not take any medications. He complains of occasional shortness of breath on walking more than 2 blocks.
The best course is to wait until the anatomy is defined by angio, then if proceeding to PCI, add Cangrelor (an IV P2Y12 inhibitor) I sent the ECG and clinical information of a 90-year old with chestpain to Dr. McLaren. Incidence of an acute coronary occlusion. His response: “subendocardial ischemia.
Cardiology felt her chestpain to be, most likely, the result of coronary supply-demand mismatch in the context of HCM endothelial remodeling (i.e. Type II MI), however decided to pursue coronaryangiogram out of an abundance of caution. Below are two examples of this. Pacing Clin Electrophysiol. 40; 1234-1241.
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