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Smith : there is some minimal ST elevation in V2-V6, but does not meet STEMI criteria. Transient STEMI has been studied and many of these patients will re-occlude in the middle of the night. Is it normal STE? The computer thinks so, and the physician thinks that is quite possible. However , there is terminal QRS distortion in lead V3.
While calling for some help and arranging to have her transported to our criticalcare zone, I got this quick ultrasound which confirmed my suspicion: This quick view was all I was able to obtain in the circumstances. She was diagnosed with pericarditis and spent one day in the hospital without events. mm STE depression in aVL.
This EKG was recorded as part of a standing order for criticalcare. Assessment:" " Nonspecific ST elevation from V1-V4 , question of early repolarization versus pericarditis , question of acute current of injury and ? Pericarditis would be even more unlikely in someone without chest pain. He awoke with naloxone.
A middle aged patient who was 3 weeks s/p STEMI came from cardiac rehab where he developed some chest pain, dyspnea and weakness on the treadmill. There is no acute STEMI. This is diagnostic of recent, reperfused STEMI. This is diagnostic of recent, reperfused STEMI. Acute STEMI would have upright T-waves.
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