Pericarditis, STEMI and Sudden Cardiac Death

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Pericarditis

STEMI

Sudden Cardiac Death

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

Dr. Smith's ECG Blog

JANUARY 9, 2023

No family history of sudden cardiac death, cardiomyopathy, premature CAD, or other cardiac issues. 50% of LAD STEMIs do not have reciprocal findings in inferior leads, and many LAD OMIs instead have STE and/or HATWs in inferior leads instead. The ECG easily meets STEMI criteria in all leads V2-V6, as well.

Chest Pain

Chest Pain Aneurysm STEMI Thrombosis

Inferior ST elevation with reciprocal change: which of these 4 patients has Occlusion MI?

Dr. Smith's ECG Blog

MAY 23, 2022

Note: according to the STEMI paradigm these ECGs are easy, but in reality they are difficult. Theres inferior STE which meets STEMI criteria, but this is in the context of tall R waves (18mm) and relatively small T waves, and the STD/TWI in aVL is concordant to the negative QRS. This was false positive STEMI with an ECG mimicking OMI.

Chest Pain

Chest Pain Pericarditis STEMI Arrhythmia

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

Inferior ST elevation with reciprocal change: which of these 4 patients has Occlusion MI?

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