Chest Pain, Coronary Artery Bypass Graft and Dysrhythmia

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Chest Pain

Coronary Artery Bypass Graft

Dysrhythmia

An athletic 30-something woman with acute substernal chest pressure

Dr. Smith's ECG Blog

JULY 31, 2018

Now you have ECG and troponin evidence of ischemia, AND ventricular dysrhythmia, which means this is NOT a stable ACS. Invasive therapies, such as percutaneous coronary intervention (PCI) or coronary artery bypass graft (CABG) should be reserved for patients with ongoing ischemia, left main artery dissection, or hemodynamic instability 6.

SCAD

SCAD Chest Pain Myocardial Infarction Ischemia

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

It was edited by Smith CASE : A 52-year-old male with a past medical history of hypertension and COPD summoned EMS with complaints of chest pain, weakness and nausea. Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58).

Ischemia

Ischemia Cardiogenic Shock Aortic Stenosis

Cardiovascular Update

An athletic 30-something woman with acute substernal chest pressure

Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!

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