Remove Coronary Angiogram Remove Exercise Remove STEMI
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See OMI vs. STEMI philosophy in action

Dr. Smith's ECG Blog

He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. Here is the coronary angiogram: 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.

STEMI 52
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ECG Blog #386 — OMI or Something Else?

Ken Grauer, MD

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 coronary angiogram — No obstructive coronary disease. CT coronary angiogram showed no obstructive coronary disease.

Blog 78
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A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

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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Hypertrophic Cardiomyopathy

EMS 12-Lead

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!!!!

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Chest pain, shortness of breath, T wave inversion, and rising troponin in a young healthy runner.

Dr. Smith's ECG Blog

Ct coronary angiogram showed normal coronary arteries. Smith note: I think CT coronary angiogram 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.