A Very Unstable Angina. No STEMI present, but needs the cath lab now.
An elderly woman with h/o diabetes and hypertension but no prior cardiac history had been having exertional chest pain for months, though with…
Male in his 40’s with chest pain.
A male in his 40’s was in his usual state of health until 3 hours prior when he developed L-sided chest pressure, radiating to the neck,…
Man in his 70’s with presyncope. Some interesting data on troponins included.
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Three Cases of Unstable Angina
Unstable angina consists of anginal symptoms but without a diagnostic rise and/or fall of troponin with one level above the 99% reference…
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…
Take a look at this prehospital ECG:
Follow on Twitter: smithECGBlog A 49 year old woman with chest pain arrived. The medics had recorded this ECG. What is the…
Wellens’ missed. Then returns with Wellens’ with dynamic T-wave inversion
This 53 year old woman presented with increasing intermittent substernal chest discomfort similar to her GERD, but not relieved by the usual…
Beware crescendo angina in patient with known CAD
A 73 yo f with hx of CAD (CABG x 2), DM, HTN, hyperlipidemia and known previous LAD occlusion, presented to the ED at t=0 with chest pain,…