Remove Coronary Angiogram Remove Electrocardiogram Remove Myocardial Infarction
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Dark Side of the Moon

EMS 12-Lead

Cardiology admitted him for observation with plans for next-day coronary angiogram. The peak Troponin I confirmed myocardial infarction. (A Unfortunately, due to the patient’s abrupt exodus from the PCI center – without benefit of coronary angiogram, or echo, for example – the disposition will forever remain unknown. [1]

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See OMI vs. STEMI philosophy in action

Dr. Smith's ECG Blog

Smith , d and Muzaffer Değertekin a DIFOCCULT: DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction. His first electrocardiogram ( ECG) is given below: --Sinus bradycardia. This is a complete coronary occlusion with a good vessel caliber. References 1.

STEMI 52
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The Bleeding Heart

EMS 12-Lead

His father and brother both died of myocardial infarction at ages 61 and 45, respectively. There is appreciable STE aVR with near-global STD that appropriately maximizes in Leads II and V5, and thus suggesting a circumstance of generic, diffusely populated, circumferential subendocardial ischemia versus occlusive coronary thrombus. [1]

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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

Incidence of an acute coronary occlusion. New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. Incidence of an Acute Coronary Occlusion. Am J Med 2019, 132(5):622-630. Miranda DF, Lobo AS, Walsh B, et al. link] Harhash AA et al.

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Hypertrophic Cardiomyopathy

EMS 12-Lead

Cardiology felt her chest pain 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 coronary angiogram out of an abundance of caution. A mid-LAD culprit lesion was identified and stented. Pacing Clin Electrophysiol.