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The Nation’s Heart: Ghana

Global Cardiac Surgery

Documented reports in Ghana go back to 1964 with the use of surface cooling to close atrial septal defects (ASDs) and performing a closed mitral commissurotomy at the Korle-Bu Teaching Hospital in Accra, under Charles Easmon, general surgeon and head of the Surgery Department at the hospital.

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Watch what happens when "pericarditis" and morphine cloud your judgment

Dr. Smith's ECG Blog

After admission he undergoes another ECG, though it is unclear from documentation whether there was a change in his chest pain. Documentation strongly suggests that this finding was what ultimately convinced the cardiologists that this was not pericarditis. After this result he was given therapeutic enoxaparin. Teaching points: 1.

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** **ACUTE MI/STEMI** **: Activate the cath lab if the patient has chest pain?

Dr. Smith's ECG Blog

The emergency physician does cautiously (correctly) note that the ECG meets STEMI criteria in V3 and V4, but goes on to document absence of ACS symptoms. When I reviewed the chart, I learned that the patient had presented with syncope. The patient ruled out for MI with serial troponin testing.