ACS CAD EMS 
EMS 12-Lead
APRIL 9, 2024
David Didlake @DidlakeDW EMS personnel responded to the residence of an 81 y/o Male with syncope. 2. Coronary angiography reveals significant and severe CAD involving all three epicardial vessels. Access the links provided for a detailed review of varying ECG patterns when ACS breaches the typical subendocardial ischemia pattern.
EMS 12-Lead
AUGUST 18, 2024
He denied any known history of CAD, but did report ASCVD risk factors to include HTN, HLD, and DM. I interpreted the ECG as VT with two primary etiological possibilities: 1. Abrupt plaque ulceration of Type 1 ACS leading to VT.
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EMS 12-Lead
JUNE 20, 2022
Moreover, he had no pertinent medical history to report in terms of CAD, HTN, HLD, or DM, for example. According to the EMS narrative, this patient initially refused hospital transport and advised that he would seek evaluation at a later time with his personal physician. A 12 Lead ECG was recorded. A 12 Lead ECG was recorded.
Dr. Smith's ECG Blog
MAY 20, 2024
A 63 year old man with a history of hypertension, hyperlipidemia, prediabetes, and a family history of CAD developed chest pain, shortness of breath, and diaphoresis after consuming a large meal at noon. He called EMS, who arrived on scene about two hours after the onset of pain to find him hypertensive at 220 systolic.
EMS 12-Lead
APRIL 8, 2022
He reported to EMS a medical history of GERD only. Furthermore, there was no family history of early CAD, MI, or sudden cardiac death. V2 – in the final EMS ECG the ST segment was baseline. V3 – in the final EMS ECG the ST segment was still slightly depressed. However, in this context (i.e.
EMS 12-Lead
JULY 24, 2023
Category 1 : Sudden narrowing of a coronary artery due to ACS (plaque rupture with thrombosis and/or downstream showering of platelet-fibrin aggregates. Smith : This is ACS even if the troponin returns normal, and the first troponin especially might return normal. This results in Type I MI. She was urgently taken to the Cath Lab.
Dr. Smith's ECG Blog
APRIL 18, 2024
Similarly, if a patient with known CAD presents with refractory ischemic chest pain, the ECG barely matters: the pre-test likelihood of acute coronary occlusion is so high that they need an emergent angiogram. 1] European guidelines add "regardless of biomarkers".
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