Inferior ST Elevation and Hyperacute T-waves, but Patient is Pain Free. What is going on?
A 60-something female presented with episodes of chest pain for the previous 2 days that lasted 20 to 30 minutes each. On the day of…
2 Examples of Posterior Reperfusion T-waves
Posterior Reperfusion T-waves have never been described in the literature, until now. Dr. Brian Driver and Dr. Gautam Shroff have joined…
Series of Prehospital ECGs Showing Reperfusion
Medics recorded this ECG at time 0 in a patient with chest pain: There are inferior hyperacute T-waves, with reciprocally inverted hyperacute…
Pseudonormalization of Inferior T-waves
In a few days I will post a twist on pseudonormalization, but wanted to first post this classic case. This 49 year old male presented after an…
The Electrocardiographically Silent Circumflex Artery
A 39 yo otherwise healthy man with no risk factors was walking at the mall when he developed chest pressure. He presented to the ED…
Epigastric Abdominal Pain and Vomiting
No details important to the diagnosis are left out, but the details are intentionally vague to preserve anonymity. The details need not be…
Inferior ST Elevation. BP 250/140.
This 50-something patient with no previous CAD complained of havinng had chest pressure the day prior, but stated she was asymptomatic at the…
Missed Acute MI, with coronary occlusion, evidence only by T-wave inversion in V2 and evolving ST depression in V3
A 39 yo otherwise healthy man with no risk factors was walking at the mall when he developed chest pressure. He presented to the ED…
Circumflex Occlusion May be Subtle or Invisible on the ECG
Case 1 Below are 2 cases of circumflex or obtuse marginal (branch of circumflex) occlusions showing how subtle they may be: A 52 y.o. male…