guidelines--ACC/AHALV aneurysm anteriorLV ThrombusRefractory Chest Painunstable angina5 Min Read Steve SmithonMarch 18, 2026 Recurrent and refractory Chest pain after infarct in a developing country A 70-something Patient started having chest pain about one hour prior to arrival. She had had a “heart attack” about two weeks ago…
Guidelines violatedguidelines--ACC/AHANSTEMI is worthlessYoung Women9 Min Read Steve SmithonMarch 6, 2026 Intense burning chest pain in a 40-something woman This was sent by a former resident: Aside: the worst thing you can be if you have an MI is a young woman. A couple other cases: = = =…
guidelines--ACC/AHAOcclusion MI/Non-Occlusion MI (OMI/NOMI) paradigmPM Cardio Queen of Heartssubendocardial ischemia4 Min Read Steve SmithonMarch 27, 2023 A 40-something with 100 minutes of chest pain I was reading ECGs on the system, and saw this one: What do you think? I knew that, if the patient had presented with chest discomfort, that…