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Critical Left Main

EMS 12-Lead

David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (ret) @DidlakeDW Expert commentary and peer review by Dr. Steve Smith [link] @smithECGBlog A 57 y/o Female with PMHx HTN, HLD, DM, and current use of tobacco products, presented to the ED with chest discomfort. Aortic Stenosis f. Left Main stenosis (not thrombosed) c.

Angina 52
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What Lies Beneath

EMS 12-Lead

Indeed, bedside Echocardiogram revealed severe left ventricular impairment of Takotsubo cardiomyopathy. The coronary angiogram revealed no critical stenosis, or acute plaque ulceration. Furthermore, pertinent electrolyte values (e.g. potassium) were within normal parameter.

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

Dr. Smith's ECG Blog

At 0800 the cardiology fellow is called to the bedside by the nurse as the patient again complains about 4/10 chest pain. No further echocardiograms were available after cath. Thats really all pericarditis is good for. A repeat troponin T drawn 8 hours after pain onset is 0.07 ng/mL (mildly elevated).