New ACC poster: many STEMI patients present with subtle ST elevation.
New ACC poster: many STEMI patients present with subtle ST elevation. Their prognosis is similar to those who meet STEMI…
Dynamic inferior MI: STEMI or Non-STEMI? Does it matter?
A 63 year old with no cardiac history developed substernal chest burning while exercising, relieved with rest. It later woke him…
ST changes due to limb lead LVH?
This was a middle aged female with a h/o CAD who presented to the ED by EMS sudden onset of central chest pressure 45 min prior to…
Subtle Anterior Transient Injury Pattern, Not Appreciated, LAD occlusion spontaneously reperfused
This 41 yo male was cleaning using a chemical and experienced sudden substernal chest burning radiating to both arms with SOB, relieved by…
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…
12 hours of Chest pain in a 40-something
A 40-something yo woman with several coronary risks but no history of coronary disease developed 10/10 “gnawing” retrosternal…
The Same Theme: Large Lateral STEMI is Subtle on the ECG
This is a 34 yo female with no history of CAD who had the onset of chest pain at 0900. It was constant, achy, substernal, 7/10,…
Subtle Lateral ST elevation. False positive. This diagnosis is hard.
Case 1. A middle-aged woman presented with severe substernal crushing chest pain radiating to the left shoulder. This was her…
Subtle Inferoposterolateral OMI, sent home!!
This ECG comes from Tom Bouthillet, who is devoted to good STEMI care, runs the EMS12lead ECG site, and who has also produced an outstanding…