A woman in her 50s with chest pain and lightheadedness and “anterior subendocardial ischemia”
Written by Pendell Meyers A woman in her 50s presented with acute chest pain and lightheadedness since the past several hours. Here is…
A 60-something has chest tightness, palpitations, and ST depression V1-V3
A 60-something has chest tightness, palpitations. Charts showed a history of some mitral regurgitation and an enlarge left atrium, as…
Guess the culprit with ST Elevation in posterior leads
A middle aged man had off and on chest pain for 2 weeks, then 2 hours of more severe and constant pain. Here was his ED ECG, which was…
ST depression does not localize: 2 cases of “inferior” ST depression diagnostic of high lateral STEMI
Case 1: This is a 72 yo male with h/o CABG who presents with 5.5 hours of sudden onset, constant, substernal chest pressure. Here is the…
Inferior ST depression in ACS is reciprocal to ST elevation in aVL
For this topic, see also this post: https://drsmithsecgblog.com/2009/01/st-depression-limited-to-inferior-leads.html This 72 yo male with h/o…
ST depression limited to Inferior leads is reciprocal to high lateral wall and represents STEMI
When there is inferior ST depression, one is tempted to diagnose “inferior ischemia”. However (paradoxically and mysteriously)…