Literature Review: mechanisms of acute coronary syndromes (ACS) and the problems with stress testing and coronary angiography
Emergency Cardiology Literature Review & Updates with Dr. Amal Mattu
HPI
A 36-year-old male with history of tobacco use presents to the ED with acute chest pain. He was recently admitted to the hospital for chest pain and had a negative Myoview stress test. He is back with recurrent chest pain. The following ECG is obtained:
Before watching the video, look closely at this ECG and ask yourself these questions:
- What ECG abnormalities do you see?
- What is the most likely cause?
- Is it possible to have acute MI after a recent negative stress test or unremarkable coronary angiogram?
