Dr. Smith's ECG Blog

MARCH 2, 2009

male presents because he "thought he might be having a heart attack." reports MI in 2001 with a stent placed in the "marginal" artery. First, this patient had a known stent in the "marginal" artery and thought he was having a heart attack. He reports intermittent CP and SOB for 2-3 days.

Heart attacks 52

Heart attacks Heart Attack STEMI Echocardiogram 52

Dr. Smith's ECG Blog

NOVEMBER 23, 2022

He stated it was similar to prior heart attacks. He was taken to the cath lab where he was found to have acute total occlusion of his saphenous vein graft to his RCA, which was stented. The pain was still ongoing at arrival. He also noted a bilateral "odd feeling" in his arms. No further troponins were measured.

Chest Pain 52

Chest Pain Cardiac Arrest Cardiogenic Shock Heart attacks 52

Dr. Smith's ECG Blog

MAY 13, 2024

He noted that his father died from a heart attack in his early 50s prompting his presentation to the emergency department. This ECG is highly concerning for LAD occlusion despite it not showing a STEMI criteria. The culprit mid LAD lesion was stented. which is concerning for LAD occlusion.

Chest Pain 120

Chest Pain STEMI Ultrasound Heart attacks 120

Dr. Smith's ECG Blog

MARCH 1, 2025

He reports this was similar to how he felt when he had his heart attack 4 years prior, now s/p 4 stents. PMCardio Queen of Hearts AI Model: The Queen of course also thinks it is acute OMI, for the same reasons. 2/3 of STEMI have a peak 4th generation troponin I greater than 10.0 NSTEMI-OMI").

Chest Pain 121

Chest Pain STEMI Stents Stent 121