Key Points ECG are a Critical Tool: ECGs are the most important initial test in evaluating acute coronary syndromes (ACS). The primary goal is to quickly identify patients with acute…
Key Points Traditional STEMI Criteria Alone Miss Acute Coronary Occlusion MI: Widely used but insufficiently sensitive or specific, many genuine occlusions (OMIs) do not meet strict STEMI criteria. Current Guidelines…
A 50-year-old woman presents to the emergency department with acute chest pain. The following ECG is obtained on arrival:
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…
A 60-year-old man is brought into the emergency department by EMS for acute onset chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained on…
A 80-year-old woman presents to the ED with midsternal chest pain and near-syncope. The following ECG is obtained:
A 60-year-old man presents to the ED with midsternal chest pain that does not resolve with aspirin. He is dyspneic and diaphoretic on arrival. The following ECG is obtained:
A 41-year-old male with no past medical history is brought into the ED with bilateral shoulder pain that has been intermittent throughout the day. On arrival the pain is mild,…