Ken Grauer, MD
SEPTEMBER 21, 2024
Pericarditis is rare — but myocarditis is not , so especially in this age group — more information is needed to quickly determine if this could be an acute MI, myocarditis, or none of the above. Causation of Endothelial damage is another potential mechanism of acute MI in a younger patient.
Circulation
NOVEMBER 11, 2024
She had idiopathic ventricular fibrillation in 1992, treated with an EPD (Picture 1A), later replaced by a transvenous ICD.She was diagnosed with left femoral deep venous thrombosis and bilateral pulmonary embolism and started on therapeutic anticoagulation. However, patients with EPDs from the 1990s may present with delayed complications.
Dr. Smith's ECG Blog
JANUARY 9, 2023
Pericarditis? Other types of nonatherosclerotic potential causes of acute infarction in younger patients include systematic inflammatory disease (ie, lupus, rheumatoid arthritis, Wegener granulomatosis ) — thrombosis not due to coronary disease (ie, endocarditis, coagulation disorders ) — pregnancy ( with its hypercoagulable state ).
Dr. Smith's ECG Blog
SEPTEMBER 9, 2024
You can easily imagine this patient getting one of several diagnoses -- vasospasm, MINOCA , pericarditis, or maybe even no diagnosis at all beyond "non-obstructive coronary artery disease." In a large proportion of cath labs, the operator would probably have ended the case at this point.
Dr. Smith's ECG Blog
OCTOBER 10, 2022
As in all ischemia interpretations with OMI findings, the findings can be due to type 1 AMI (example: acute coronary plaque rupture and thrombosis) or type 2 AMI (with or without fixed CAD, with severe regional supply/demand mismatch essentially equaling zero blood flow). Submitted by a Med Student, with Great Commentary on Bias!
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