ST Elevation in I and aVL: do prehospital cath lab activation on these cases?
Case 1. A 50-something year old man with 2 cardiac risk factors had a syncopal episode associated with diaphoresis. There was no chest…
37 yo with 1.5 hours of burning chest pain
A 37 year old with a history of DM on metformin complained of acute onset of burning chest pain. He called 911. They did an ECG but it…
Pulmonary Edema, Hypertension, and ST Elevation 2 Days After Stenting for Inferior STEMI
A male in his 40’s who had been discharged 6 hours prior after stenting of an inferoposterior STEMI had sudden severe SOB at home 2…
Acute Pulmonary Edema, Respiratory Failure, and LBBB
A man in his 70’s called 911. When medics arrived, he was in extremis with respiratory failure, able only to say he has a history…
Interesting new paper: in this study, even interventionalists had a hard time differentiating non-ischemic ST elevation from STEMI
Reference: Tran V, Huang HD, Diez JG, et al. Differentiating ST-elevation myocardial infarction from nonischemic ST-elevation in…
Anterior ST elevation: is it STEMI?
I received a call from an outside hospital. A 31 year old healthy auto mechanic had a prolonged exposure to Carbon Monoxide in his…
ST elevation (Saddleback), is it STEMI?
This 56 year old male presented with atypical chest pain and left arm numbness off and on for one week, worse on the day of presentation:…
Inferior ST Elevation: what is the Diagnosis?
You can read this post here, or watch a video presentation of it: https://hqmeded.com/inferior-st-elevation-2/ I was handed this ECG, without…
Cath lab activated. What do you think? (#2)
This 45 year old male called 911 for increasing SOB and CP over 2 weeks. His BP was 220/150. The medics did a prehospital ECG,…
Cath lab activated. What do you think?
This is a 47 year old African American man with substernal and right sided chest pain, worse with inspiration. EMS was called. Prehospital EKG…