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He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. Here is the coronaryangiogram: A distal thrombotic right coronary artery (RCA) occlusion ! Here is the post-intervention angiogram and post-PCI ECG. The pain was completely resolved after coronary intervention.
Ct coronaryangiogram showed normal coronary arteries. Smith note: I think CT coronaryangiogram is reasonable with the elevated troponins and symptoms. Exercise test would also have been reasonable. His symptoms of chest pain and shortness of breath were attributed to an asthma exacerbation during exercise.
The ECG in Figure-1 was obtained from a previously healthy middle-aged man — who while performing his regular exercise routine, developed "slight" chest discomfort and "palpitations". CT coronaryangiogram — No obstructive coronary disease. CT coronaryangiogram showed no obstructive coronary disease.
Furthermore, she denies any hydration since conclusion of exercise. This worried the crew of potential acute coronary syndrome and STEMI was activated pre-hospital. As it currently stands, an ST/S ratio >15% should raise awareness for new anterior STEMI. Smith comment : V5 and V6 are excessively discordant!!!!
Sent by anonymous, written by Pendell Meyers A male in his teens presented with complaints of chest discomfort and dyspnea beginning while exercising but without obvious injury. He immediately stopped exercising and symptoms started to improve. The ECG easily meets STEMI criteria in all leads V2-V6, as well. Pericarditis?
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