Remove Coronary Angiogram Remove Electrocardiogram Remove Tachycardia
article thumbnail

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. We investigated the incidence of an acutely occluded coronary in patients presenting with STE-aVR with multi-lead ST depression. A normal PR interval.

article thumbnail

The Bleeding Heart

EMS 12-Lead

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] It’s judicious, then, to arrange for coronary angiogram. Does the ECG normalize?