Comment to '"Focal" STEMI !'
Comment to "Focal" STEMI !
  • Perfect, you guys hit the nail on the head. Focal first diagonal occlusion. Images from before and after intervention is below. Angios films attached. The diagonal was found to have a thrombotic lesion. Post interventional flow was slightly sluggish, TIMI 2-3.

    EKG post intervention below showing resolution of these changes and Q-wave progression:

    Here is the next twist. 24 hr later, while he was in the hospital, he developed sudden-onset chest pain associated with diaphoresis and palpitations. He is tachycardic but BP is stable.

    Repeat EKG is shown below.

    What is going on now, what is the next step?

    • 2

    ScrubdIn

    Close