Serial ECGs confirm initial suspicion of anterior STEMI (LAD occlusion)
A 52 yo man began having substernal chest discomfort and presented 2 hours later. His prehospital ECG, which I cannot find, reportedly…
Missed STEMI, spontaneously reperfused
Click here for other very instructive cases of missed STEMI. This is a 48 yo female with no risk factors for CAD had sudden onset of arm…
Transient STEMI, serial ECGs prehospital to hospital, all troponins negative (less than 0.04 ng/ml)
This is a 45 yo male who had an inferior STEMI 6 months prior, was found to have severe LAD and left main disease, and was supposed to be set…
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…
Anterior MI: Ongoing STEMI, reperfused STEMI, or NonSTEMI?
An 80 yo male presented with chest pain onset 1130 AM. The prehospital ECG was reported to have some “ST depression”,…
If there is high suspicion for ischemia, do serial EKGs and pay attention to them!
Case 1) This is the initial EKG of a 60 yo male with a couple days of stuttering chest pain. He is pain free at the time of the EKG at 2100.…
Acute MI from LAD occlusion, or early repolarization?
3 hours of chest pain. Is it STEMI or is it normal (or early repolarization)? Read Answer Below This ECG looks quite normal, with only…