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He presented to the ED because he developed sudden severe, sharp, pleuritic (but not positional), substernal and left mid to lower chestpain. Another similar case: Teenager with chestpain and slightly elevated troponin. He had this ECG at time 0 What do you think? What happens then? Pericarditis?
Furthermore, some ECGs may not meet the STEMI criteria but may still be diagnostic for acute coronary occlusion (ACO). The App can be download from Apple App Store and Google Play Store in English, Turkish, French, German, Spanish, Chinese, Russian, Azerbaijani ( according to your phone's language ). For download: Enjoy !
Case 2: sent by Dr. James Alva A man in his 50s with diabetes, hypertension, and hyperlipidemia presented to the ED with chestpain and shortness of breath off and on over the past three days, with associated vomiting. There is also much STE in V3-V6, especially V4-V6, that must be considered to be STEMI. Peak troponin was 3.21
The ECG in Figure-1 was obtained from a middle-aged man who presents to the ED ( E mergency D epartment ) with 6 hours of chestpain. Figure-1: The initial ECG in today's case obtained from a middle-aged man with 6 hours of chestpain. ( He is hemodynamically stable.
No chestpain. He also did his cardiology fellowship at my institution, Hennepin County Medical Center. He runs the Parallax podcast, and he inteviewed me on that Podcast this year. hs Trop I is 15,000. I think it is OMI. Taking her to the cath lab. Could be LAD.
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