The ECG was correct. The angiogram was not.
This ECG is from a man in his 70s who presented with chest pain and nausea on a background of previous MI.
This ECG shows sinus rhythm with PVCs and subtle ST elevation in I, aVL and V2 and reciprocal ST depression in III and aVF. Angiogram was negative. The most likely cause was a brief LAD occlusion that spontaneously reperfused.
OMI Confirmed by POCUS Echo in a 50 year man
This ECG is from a man in his 50s who presented with intermittent epigastric burning pain for 4 days that had become constant that morning.
This ECG shows ST elevation in aVL, I and V2-4 with reciprocal ST depression inferiorly. POCUS showed severe hypokinesis of the anterior wall. The cause was a large anterior MI.
2 ECGs texted to me. Minimal STE in inferior leads. How important is it?
This ECG is from a patient of unknown age who presented with a syncopal episode and vague chest pain. This was the second ECG taken 24 min later.
This ECG shows subtle inferior ST elevation with reciprocal ST depression in aVL. The cause was a 100% distal RCA occlusion.
Epigastric pain radiating to the chest for 18 hours. ECG makes the Dx. Troponin makes the Dx. CT makes the Dx!
This ECG is from a middle aged man who presented with 18 hours of epigastric pain radiating to the chest.
This ECG shows ST elevation in aVL with reciprocal ST depression in inferior leads and V3-4, consistent with high lateral MI and posterior involvement.
Instructors’ Collection ECG: Inferior Wall M.I. With Atrial Fibrillation or Atrial Flutter
This ECG is from a man in his 70s who presented with chest pain. He had a history of COPD.
This ECG shows massive inferior ST elevation with widespread ST depression. The most likely cause was an acute inferior infarct.
The Interventionalist Refuses Angiography, and even to speak to the Emergency Physician – repeat ECG pain free
This ECG is from a middle aged patient who presented with chest pain of uncertain duration. This was the repeat ECG when pain returned.
This ECG shows ST elevation in V1, II, III and aVF with reciprocal ST depression in aVL. The cause was a proximal RCA occlusion. The T waves were peaked but the potassium was normal.