Posterior STEMI

Results:
ECG STAT January 17, 2025
ST Depression V1-V4 (OMI Pattern)

Key Points Isolated posterior occlusion MI is the most commonly missed “STEMI.” ST elevation is typically not seen on the standard 12-lead ECG in isolated posterior STEMI. Instead, it manifests…

Weekly Workout July 8, 2024
Concerning chest pain with ST segment depression in the anteroseptal leads (Part 2/2)

A 50-year-old woman presents to the emergency department with acute chest pain. The following ECG is obtained on arrival:

Weekly Workout July 1, 2024
Concerning chest pain with ST segment depression in the anteroseptal leads (Part 1/2)

A 72-year-old woman with a past medical history of diabetes, coronary artery disease, and heart failure presents to the emergency department with acute onset chest and back pain.  Pain is…

Weekly Workout February 4, 2019
Literature Review: occlusion MI in paced rhythms

HPI:  An 84-year-old male presents to the emergency department with 4 hours of chest pain. He has a history of coronary artery disease and has a pacemaker. The following ECG…

Weekly Workout July 9, 2018
2018 ECG Competition Answers (Part 2/2)

This week we review the answers to questions 7-12 from the 6th annual UMEM Residency ECG Competition.  Make sure to attempt to answer the questions before clicking the red box to…

Weekly Workout July 2, 2018
2018 ECG Competition Answers (Part 1/2)

This week we review the answers to the first 6 questions from the 6th annual UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red…

Weekly Workout May 1, 2017
ECG Basics & Fundamentals: when to get posterior leads

A 70-year-old man presents to the ED with ischemic chest pain. The following ECG is obtained:

Weekly Workout October 9, 2016
STAT ECG Diagnoses: the most commonly missed STEMI does not have ST segment elevation

A 70-year-old man presents to the ED with radiating chest tightness, nausea, and diaphoresis. The following ECG is obtained:

Weekly Workout January 18, 2016
ECG Basics & Fundamentals: reflux, burping, and improvement with antacids…can’t be cardiac, right?

A 71-year-old man with history of diabetes & HTN presents to the ED with chest discomfort and burping over the past few days. The discomfort has increased over the past…

Weekly Workout May 25, 2015
ECG Basics & Fundamentals: you don’t always need ST segment elevation to benefit from acute reperfusion therapy

HPI: A 75-year-old male with a history of hypertension presents to the ED with substernal chest pressure. There is no associated diaphoresis or nausea. The following ECG was obtained. Case…

Weekly Workout May 11, 2015
2015 ECG Competition Answers (Part 1/2)

This week we review the answers to the first 6 cases from the UMEM Residency ECG Competition. Make sure to attempt to answer the questions before clicking the red boxes…

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