Pure Posterior STEMI, not a rare event
This 65 yo male presented with 24 hours of intermittent and low grade chest pressure. Here is the presenting ECG: There is ST depression with…
Subacute STEMI Masked by a Wide Complex
See this post for a wide complex that reveals the MI. Case: This 46 yo male with no h/o MI or coronary disease presented with 2 days of…
Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context
This 54 year old patient with a history of kidney transplant and poor transplant function — had been vomiting all day, when at 10 PM he…
Pseudoinfarction patterns: there are many and this is one: what is it?
This is courtesy of Mohammed S. Alo, who kindly let me reproduce a case from his blog (Mohammed Alo’s blog). This is a 40 year old male…
Inferior STEMI: can we predict the infarct related artery?
Inferior STEMI may be due to RCA or circumflex occlusion (and occasionally due to a “Type III” or “wraparound” LAD,…
Cardiac Arrest, acute ST elevation and depression superimposed on LVH, but NOT due to ACS
This young male had ventricular fibrillation during a triathlon. He was resuscitated with chest compressions and defibrillation and 1 mg of…
Wide Complex Tachycardia converted, subsequent 12-lead with ST elevation due to WPW
This 58 yo male with a PMHx only significant for Sleep Apnea felt dizzy, lightheaded and nauseated after exerting himself, with no CP or SOB.…
35 yo woman with LAD occlusion manifesting with only hyperacute Ts and inferior ST depression, also missed by computer
Click here for other cases of missed STEMI. Click here for cases of early repolarization vs. LAD occlusion. A 35 yo woman had the sudden…
ST depression does not localize: 2 cases of “inferior” ST depression diagnostic of high lateral STEMI
Case 1: This is a 72 yo male with h/o CABG who presents with 5.5 hours of sudden onset, constant, substernal chest pressure. Here is the…