ACS Ambulance STEMI 
Dr. Smith's ECG Blog
NOVEMBER 15, 2023
She was brought in by ambulance and received aspirin and nitroglycerin en route. Angiogram No obstructive epicardial coronary artery disease Cannot exclude non-ACS causes of troponin elevation including coronary vasospasm, stress cardiomyopathy, microvascular disease, etc. This originally radiated into her left arm. From Gue at al.
ECG Medical Training
AUGUST 21, 2016
Acute anterior STEMI tends to be a more difficult ECG diagnosis than acute inferior STEMI. That’s because with acute inferior STEMI there’s almost always a downsloping ST-segment in lead aVL to help shore up the diagnosis. Assuming the patient has signs and symptoms of ACS, this should be an easy diagnosis.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
Dr. Smith's ECG Blog
DECEMBER 19, 2023
The ambulance report says "BP continued to drop during transport and pt remained cold and clammy." The 3 most common causes of ACS ( A cute C oronary S yndrome ) wit hout evidence of obstructive coronary disease on cath are: i ) Myocarditis ( up to 1/3 of these patients ); ii ) Takotsubo cardiomyopathy; and , iii ) MINOCA.
Dr. Smith's ECG Blog
APRIL 20, 2018
The nitro she took in the ambulance did not help. Patients like her are the reason we are advocating for a change in the ACS paradigm from STEMI to OMI. While she was in her bed at home, she had sudden onset of left sided chest pain that radiated to her shoulder. The pain was pleuritic, without nausea or diaphoresis.
REBEL EM
MARCH 2, 2023
Based on recent studies, current guidelines recommend that O2 should not be given to non-hypoxemic patients with STEMI or NSTEMI [2,3]. REBEL Cast Ep114 – High Flow O2, Suspected ACS, and Mortality? 4159 patients (10% of total population) had STEMI 30d Mortality: High O2 protocol: 8.8% Low O2 protocol: 3.1%
Dr. Smith's ECG Blog
NOVEMBER 2, 2015
Serial ECGs demonstrated dynamic changes diagnostic of ACS (transient STEMI) 4. Finally, Transient STEMI should be taken emergently to the cath lab. Normalization of Diagnostic For STEMI Prehospital ECG with Nitroglycerin Therapy. During the 13 month interval, 87 patients had an initial ECG that was diagnostic for STEMI.
Dr. Smith's ECG Blog
JUNE 17, 2024
Written by Bobby Nicholson, MD 67 year old male with history of hypertension and hyperlipidemia presented to the Emergency Department via ambulance with midsternal nonradiating chest pain and dyspnea on exertion. looked at consecutive patients with PE, ACS, or neither. What do you think? ng/mL, BNP 2790, and lactate 3.7. Kosuge et al.
Expert insights. Personalized for you.
109 
Let's personalize your content