acutenessExamples of Hyperacute T-waveshyperacute T-wavesinferiorinferior hyperacute T-wavesInferior MI subtleOMI10 Min Read Pendell MeyersonNovember 20, 2019 A man in his 30s with 12 hours of chest pain; is the ECG consistent with 12 hours of occlusion? Written by Pendell Meyers, submitted by Siva Vittozzi-Wong A man in his 30s with history of hypertension, hyperlipidemia, and diabetes…
(Occlusion Myocardial Infarction)acutenessNormal ECG by computer algorithmOMIpseudonormalizationre-occlusion4 Min Read Steve SmithonMarch 27, 2018 Do you want to be interrupted to view what the computer calls normal or nonspecific ECGs? 2 cases at once! Two Cases Male Patient I was handed this ECG of a 40-something male patient. It was recorded at triage. The chief complaint was…
acutenesshyperacute T-wavesLAD occlusionThrombolyticstroponin4 Min Read Steve SmithonSeptember 1, 2017 15 hours of chest pain. Too late for thrombolytics, right? Unstable Angina still exists. The time window for therapy with thrombolytics is up to 12 hours after the onset of chest pain, based on many studies done in the thrombolytic…
acutenessThrombolyticsTime Window for Reperfusion Therapy9 Min Read Steve SmithonAugust 28, 2014 9 Hours of Chest Pain and Deep Q-waves: Is it too late for Thrombolytics? (Time Window for Reperfusion; Acuteness on the ECG) A 50 year old hypertensive presented with 9 hours of central crushing chest pain. BP was 250/120, and after placement on an IV…
4 Min Read Steve SmithonFebruary 26, 2014 Prolonged chest pain and Intraventricular Conduction Delay similar to Left Bundle Branch Block A 67 year old male with no previous cardiac history or risk factors woke up at midnight with right-sided chest pain. It was the “worst…