ACS Coronary Heart Attack 
The Skeptics' Guide to EM
JULY 2, 2022
Major adverse cardiac event rates in moderate-risk patients: Does prior coronary disease matter? Major adverse cardiac event rates in moderate-risk patients: Does prior coronary disease matter? His father had a minor heart attack at the age of 63. With a negative initial troponin, this gives him a HEART score of 4.
Dr. Smith's ECG Blog
AUGUST 9, 2024
He reported a history of “Wolf-Parkinson-White” and “heart attack” but said neither had been treated. Serial ECGs enhance the diagnosis of acute coronary syndrome. Association of intravenous morphine use and outcomes in acute coronary syndromes: Results from the Crusade Quality Improvement Initiative. Washam, J.
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Dr. Smith's ECG Blog
NOVEMBER 23, 2022
He stated it was similar to prior heart attacks. ST depression maximal in V1-V4, in the context of ACS symptoms and unexplained by QRS abnormality or tachydysrhythmia, should be considered posterior OMI until proven otherwise. Today's patient is high-risk ( ie, in a high "prevalence" group for having an acute coronary event ).
Dr. Smith's ECG Blog
OCTOBER 10, 2022
He reportedly told his family "I think I'm having a heart attack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive. CPR was initiated immediately. There is also STD in V2-V4 (but maximal in V5-V6).
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