True Positive ST elevation in aVL vs. False Positive ST elevation in aVL
Case 1. A woman in her 60s with no prior history of CAD presented with 3 hours of sharp, centrally located chest pain with radiation to…
Inferior and Lateral ST Elevation and A Positive Troponin
A young woman presented with substernal chest pain described as both crushing and stabbing, with radiation to the jaw and left arm and…
Subtle ECG, seen well in PVC’s, and 2 arteries are involved.
An elderly female with h/o HTN presented with chest pressure. She awoke with bilateral upper sternal chest pressure and…
The development of an inferior-posterior STEMI, from prehospital to hospital
For other cases of inferior hyperacute T-wave click here and here. For more on lead aVL, click here and here. Also use labels on the…
Posterior Leads Fail to Diagnose Posterior STEMI
For more cases of posterior MI: https://drsmithsecgblog.com/search/label/posterior%20STEMI A 54 year old male with recent angiogram that…
Is it MI or pericarditis?
I had a recent comment on this post, which was put up 7 years ago (850 posts since then!). I was reminded of it. And so I thought…
New RBBB and subtle NSTEMI
This 49 year old male presented with chest pain. Initial ECG: sinus with QRS of 128 ms and RBBB, though not obvious. There is T-wave…
Inferior hyperacute T-waves. The clue is T-wave inversion in aVL. Serial ECGs evolve to ST Elevation.
This is a 66 year old male with severe substernal chest pain. He was intermittently bradycardic down to the 30’s with a blood…
Inferolateral ST elevation might be pericarditis, but not with Reciprocal ST depression in aVL
This 47 yo male with 2 risk factors had onset of substernal CP while watching TV and smoking a cigarette. It felt “sharp” as if…