top of page

Missed Opportunity

David Didlake
Aug 30, 20221 min read

Updated: Aug 30, 2022

New onset chest discomfort with demonstrable Hyperacute T waves that went undetected by EMS, EM, and cardiology.


Case review presentation:


Learning Objectives

  • Hyperacute T waves are disproportionately large in comparison to their paired QRS, and represent Grade I Sclarovsky-Birnbaum ischemia.

  • Diffuse / global ST depression is consistent with subendocardial ischemia (supply-demand mismatch) when maximal in Leads II and V5. Consider a focal reciprocal change when maximal depression is elsewhere.


Below is the link for detailed review on the hyperacute T wave (with expert commentary by Dr. Steve Smith).



Comments

About Me

Screen Shot 2021-06-19 at 9.28.50 AM.png

I am the Battalion Chief of EMS for Hilton Head Island Fire Rescue and obsessed with all things process improvement, system performance, human factors, crew resource management, and evidence-based performance measures for time-sensitive diagnoses.

Posts Archive

bottom of page