Tag Archives: concave up

Conclusion to Snapshot Case: 44 Year Old Male – Chest Tightness

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This is the conclusion to the Snapshot Case located here. You may want to review the initial description again. As many readers correctly pointed out, this patient is experiencing a STEMI. Let's start with the basics and work our way up to some pretty advanced topics. First, there is anterior ST-elevation with upwardly-concave T-waves, as […]

Snapshot Case: 44 Year Old Male – Chest Tightness

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Here's a new "Snapshot" case courtesy of Dr. Bojana Uzelac from Serbia… A 44 year old male presents with a chief complaint of tightness in his chest x 1 hour. He was on his way to a conference when it started and states: "It feels kind of like asthma. I've never been diagnosed but I […]

ST segment morphology

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In a previous post, we discussed the problem of ST segment elevation. Because acute myocardial infarction (STEMI) is not the most common cause of ST segment elevation in chest pain patients, we need to consider other factors like reciprocal changes to shore up the diagnosis. It’s also a good idea to be well versed in […]

EMS 12-Lead

Cardiac Rhythm Analysis, 12-Lead ECG Interpretation, Resuscitation
Comments
Dayne
Rate Related VS. Primary ST-T Changes:
AF with RVR @167, LVH and prolonged QT. ST depression to I,II and V3-6 and reciprocal elevation to aVR equal to or >1mm highly suggestive of LMCA or 3-vessel disease. High specificity for proximal occlusion. Aspirin, GTN, IV access, Spo2 >95%, Transport to nearest PCI/Cath Lab facility ASAP
2014-09-19 10:52:36
Dayne
Rate Related VS. Primary ST-T Changes:
LMCA/3-vessel disease
2014-09-19 10:42:59
Christopher Watford
59 year old male: chest pressure – Conclusion
Tony, From the initial ECG it appears that the pattern of ST-elevation is suggestive of a proximal RCA occlusion. However, at cath it was instead found to be an LCx lesion. Good question!
2014-09-18 13:20:09
Tony
59 year old male: chest pressure – Conclusion
Please explain why you suggest that the inferoposterior is caused by RCA but the Left Cx has been stented. Thank you.
2014-09-18 06:17:03
Keren Levi
The 360 Degree Heart – Part I
Lately, a few paramedic-students arrived at my station. So i tried to explain that basics at my best simpliest way. After readinv your perfectly coherent "article", i couldnt stop smily for knowing we both thought of same phrases and associatives words. For me it is a great compliment! Thanks for writing! Cant wait for part…
2014-09-17 19:34:44

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