Coronary ED MICU 
Core EM
NOVEMBER 30, 2024
The Case An 88-year-old woman with a history of dementia, major depressive disorder, and hyperlipidemia presented to the ED via EMS after a near syncopal episode. The ED team emergently notified cardiology and loaded her with aspirin, ticagrelor, and heparin. High-sensitivity troponin peaked at 61 and BNP was normal.
EMS 12-Lead
AUGUST 14, 2022
A second 12 Lead ECG was recorded: This is a testament to the dynamic nature of coronary thrombosis and thrombolysis. Here the ST segments are not so deep, nor are the T waves so wide and bulky, because of improved coronary flow at the level of the occlusion. MICU transport was unremarkable. But the lesion is still active!
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