Spontaneous coronary artery dissection

Spontaneous coronary artery dissection is an uncommon cause of acute coronary syndrome.

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ECG Library (11)

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In the ECGquest archives, this ECG has been tagged with: - 12-Lead Serial 12-lead Wellens Waves Spontaneous coronary artery dissection Dr Smith's ECG Blog CC BY-NC
An athletic 30-something woman with acute substernal chest pressure: repeat ECG 19 hours after cath

This ECG is from an athletic woman in her 30s who presented with 1.5 hours of substernal chest pressure and nausea. She had no risk factors for ischemia. This was the repeat ECG 19 hours later, after cath.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Serial 12-lead Wellens Waves Spontaneous coronary artery dissection Dr Smith's ECG Blog CC BY-NC
An athletic 30-something woman with acute substernal chest pressure: repeat ECG 38 hours later

This ECG is from an athletic woman in her 30s who presented with 1.5 hours of substernal chest pressure and nausea. She had no risk factors for ischemia. This was the repeat ECG 38 hours later, after cath.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead De Winter T waves Spontaneous coronary artery dissection Dr Smith's ECG Blog CC BY-NC
An athletic 30-something woman with acute substernal chest pressure

This ECG is from an athletic woman in her 30s who presented with 1.5 hours of substernal chest pressure and nausea. She had no risk factors for ischemia. This was her initial ECG.

In the ECGquest archives, this ECG has been tagged with: - Chest pain 12-Lead Serial 12-lead De Winter T waves Spontaneous coronary artery dissection Dr Smith's ECG Blog CC BY-NC
An athletic 30-something woman with acute substernal chest pressure: repeat ECG with pain resolving 44 min later

This ECG is from an athletic woman in her 30s who presented with 1.5 hours of substernal chest pressure and nausea. She had no risk factors for ischemia. This was the repeat ECG 44 min later as the pain was resolving after nitroglycerine.

In the ECGquest archives, this ECG has been tagged with: - 12-Lead Serial 12-lead Spontaneous coronary artery dissection Dr Smith's ECG Blog CC BY-NC
An athletic 30-something woman with acute substernal chest pressure: repeat ECG 7 hours later

This ECG is from an athletic woman in her 30s who presented with 1.5 hours of substernal chest pressure and nausea. She had no risk factors for ischemia. This was the repeat ECG 7 hours later.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea Fatigue 12-Lead Spontaneous coronary artery dissection Dr Smith's ECG Blog CC BY-NC
Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics

This ECG is from a man in his 60s who presented with chest pain radiating down his left arm and 2 days of exertional dyspnoea and fatigue.

This ECG shows anterior ST elevation with terminal QRS distortion. The cause was Spontaneous coronary artery dissection (SCAD) of the mid LAD.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Dyspnoea Fatigue Serial 12-lead Accelerated idioventricular rhythm Spontaneous coronary artery dissection Dr Smith's ECG Blog CC BY-NC
Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics 2

This ECG is from a man in his 60s who presented with chest pain radiating down his left arm and 2 days of exertional dyspnoea and fatigue.

This ECG shows anterior ST elevation with terminal QRS distortion. At 16:56 there is also a LBBB. The cause was Spontaneous coronary artery dissection (SCAD) of the mid LAD.

In the ECGquest archives, this ECG has been tagged with: - Serial 12-lead Spontaneous coronary artery dissection Dr Smith's ECG Blog CC BY-NC
Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics: 3 Successful reperfusion

This ECG is from a man in his 60s who presented with chest pain radiating down his left arm and 2 days of exertional dyspnoea and fatigue. This was the repeat ECG 1h after thrombolysis.

This ECG shows some ongoing anterior ST elevation with Q waves in V3 and V4. The cause was Spontaneous coronary artery dissection (SCAD) of the mid LAD.

In the ECGquest archives, this ECG has been tagged with: - Serial 12-lead Spontaneous coronary artery dissection Dr Smith's ECG Blog CC BY-NC
Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics: 4 arrival to ED

This ECG is from a man in his 60s who presented with chest pain radiating down his left arm and 2 days of exertional dyspnoea and fatigue. This was the arrival ECG after prehospital thrombolysis.

This ECG shows resolved ST elevation and the Q wave in V3 also resolved.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Hypotension 12-Lead De Winter T waves Narrow QRS Normal Axis Normal PR Upsloping ST depression Spontaneous coronary artery dissection Acute Anterior MI ECG of the Week CC-BY-NC-SA
ECG of the Week – 8th January 2018 – Interpretation

This ECG is from a woman in her 30s presented following a collapse 5 days post-partum. On arrival to the Emergency Department she was hypotensive ( systolic BP ~80 mmHg) with an altered conscious level, complaining of chest pain and headache.