A 41-year-old lady who presented with syncope. In the emergency room, her high sensitivity troponin went from 48 to 183 in 1 hour. She reported mild shortness of breath and chest pain on exertion.What was the likely mechanism of her syncope? (answered in the 1st comment)
This is an EKG on 70-year-old male. He has multiple medical problems including shortness of breath, chronic kidney disease, anemia and other medical problems.This EKG came through routine EKG reading. What 1st thing comes in mind when you see this EKG, and why?
I would like to share this interesting case from couple of days ago.A 63-year-old African American lady with acute coronary syndrome. During her catheterization, when injecting the left main coronary artery, the catheter slid and jumped into another vessel. That turned out to be the RCA originating just very close to the left main. A repeat cranial view, (angiogram 2.) Clarifies the relationship between to the separate ostia in the left coronary cusp.CX was occluded and RCA has two proximal tandem lesions.We elected to perform intervention on both vessels. Finding a guide catheter for the apparent RCA was a bit challenging, however we used a JR4 guide catheter but needed to engage the ostium
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A 41-year-old male presented with 2-hr history of severe retrosternal chest pain and diaphoresis. He has no prior history other than h/o smoking. In ED, he was diaphoretic and in severe pain rated 7/10. His vital signs stable. Presenting EKG is shown below. Question: Is this a STEMI or Not? What is the culprit lesion?
This is a 37-year-old female who was seen in the ER for left lower abdominal pain.While in the ER sleeping, the following rhythm strip was noticed. The ER provider ordered stat magnesium, cardiac troponins, EKG, which was within normal limits. What would you do next?