Amal Mattu’s ECG Case of the Week – April 6, 2015 To view the remainder of this post you must be logged in or have an annual account. Log In Click here to purchase an annual account By ECGWeekly Support|2016-12-21T17:14:57-05:00April 5th, 2015|12 Comments Share This Story, Choose Your Platform! facebooktwitterlinkedintumblrpinterestEmail Related Posts Amal Mattu’s ECG Case of the Week – May 25, 2020 Gallery Amal Mattu’s ECG Case of the Week – May 25, 2020 Amal Mattu’s ECG Case of the Week – May 18, 2020 Gallery Amal Mattu’s ECG Case of the Week – May 18, 2020 Amal Mattu’s ECG Case of the Week – May 11, 2020 Gallery Amal Mattu’s ECG Case of the Week – May 11, 2020 Amal Mattu’s ECG Case of the Week – May 4, 2020 Gallery Amal Mattu’s ECG Case of the Week – May 4, 2020 Amal Mattu’s ECG Case of the Week – April 27, 2020 Gallery Amal Mattu’s ECG Case of the Week – April 27, 2020 12 Comments Hesham I April 6, 2015 at 7:56 amLog in to Reply Dear Dr Mattu, Great leaning session as usual. I have noticed in the first case ECG that there is some ST depression in V2 & V3, Do you agree? What do you think about this from the STEMI vs pericarditis point of view? Regards, Hesham Jose D April 6, 2015 at 10:01 amLog in to Reply Thank you. dhiyan m April 6, 2015 at 10:45 amLog in to Reply thank you.quite a revelation Claudiu M April 6, 2015 at 11:43 amLog in to Reply Thank you for this presentation! Jonathan G April 7, 2015 at 12:26 amLog in to Reply This makes me want to change my practice and preform a bedside ultrasound on all STEMIs before I administer thrombolytics regardless of the ECG findings. Great cases. Thanks for sharing. Ayo A April 7, 2015 at 10:04 amLog in to Reply Thanks Amal. Good.will definitely be helpful. Javier m April 7, 2015 at 10:40 amLog in to Reply Excellent case review!!!! Anwar A April 7, 2015 at 9:34 pmLog in to Reply Great cases Thank you Dr.Amal James J April 8, 2015 at 8:26 amLog in to Reply Love the new site, Amal. Easier to follow. Jim Jones, Texas Amal M April 10, 2015 at 7:39 pmLog in to Reply Hesham, There’s just a tiny bit of ST depression….less than a 1/2 mm. I’m not sure what to make of that. Normally if I clearly see ST depression, I feel that it strongly rules out pericarditis and points toward true STEMI, but this is so small, I’m not sure I would make a definitive decision based on that. Also, then, you’ve got the Spodick sign to deal with, and some PR depressions. It’s not easy, and very easy to talk yourself into or out of something. But the key here, and in the other cases, is much more simple: LV + tachy = pericardial effusion until proven otherwise. Take a look with the U/S or even a dry CT. Jonathan, I would probably only routinely do the u/s before lytics if I saw LV, but it certainly would be reasonably to do a (quick!) u/s in all of your presumed STEMI patients before lytics, as long as you aren’t delaying things too much. Thanks everyone. Amal Mike H April 12, 2015 at 8:52 pmLog in to Reply Drawing the arms on that guy really made the drawing come together. I am 99% sure that was Baymax from Big Hero 6 and he definitely has arms LOL. This episode was a classic. I like the simple take home and will definitely use this in the future. Thanks! Amal M April 17, 2015 at 11:53 pmLog in to Reply hey, good point about Baymax! No doubt he has low voltage also! Leave A Comment Cancel replyYou must be logged in to post a comment.