Blog Coronary Heart Attack 
Dr. Smith's ECG Blog
MARCH 2, 2009
male presents because he "thought he might be having a heart attack." First, this patient had a known stent in the "marginal" artery and thought he was having a heart attack. Case 2 A 38 year old male with h/o smoking only c/o a few hours of severe substernal chest pain; he thinks he is having a heart attack.
Dr. Smith's ECG Blog
MAY 13, 2024
He noted that his father died from a heart attack in his early 50s prompting his presentation to the emergency department. He reported substernal chest pressure with radiation to his left arm that started at work several hours prior to arrival and had somewhat improved since onset.
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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. This has been discussed many times before on this blog. In-depth discussion is beyond the scope of this blog. Serial ECGs enhance the diagnosis of acute coronary syndrome. Washam, J. Peacock, W. Pollack, C.
Dr. Smith's ECG Blog
JANUARY 9, 2023
Repeat CT angio chest (not CT coronary, unclear what protocol) showed possible LAD aneurysm and thrombus. Finally, coronary angiography was performed (at least 5 days after presentation) which confirmed LAD aneurysm with large thrombus burden, TIMI 0 flow, thrombectomy performed.
Dr. Smith's ECG Blog
NOVEMBER 23, 2022
He stated it was similar to prior heart attacks. We've shown many cases on Dr. Smith's ECG Blog of subtle ECG findings that rapidly evolve into dramatic ST-T wave changes. Today's patient is high-risk ( ie, in a high "prevalence" group for having an acute coronary event ). The pain was still ongoing at arrival.
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. (The
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