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SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area?

The Skeptics' Guide to EM

She is the cofounder of FOAMcast and a […] The post SGEM#421: I Think I’d Have a Heart Attack – Maybe Not in a Rural Area? Background: We have covered the issue of heart attacks several times on the SGEM. These include looking at the HEART score, troponin testing and cardiovascular disease in women.

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SGEM#370: Listen to your Heart (Score)…MACE Incidence in Non-Low Risk Patients with known Coronary Artery Disease

The Skeptics' Guide to EM

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.

Coronary 100
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Early repol or anterior OMI?

Dr. Smith's ECG Blog

He noted that his father died from a heart attack in his early 50s prompting his presentation to the emergency department. Chest Pain – Benign Early Repol or OMI? 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.

OR 111
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The Cardiovascular System for EMTs: Interventions and Heart Conditions

EMT Training Station

In this five-part series, we will journey through the intricacies of the cardiovascular system, delve into the most common heart conditions you’ll encounter as an EMT, review essential interventions, and underline the importance of patient education in preventing cardiovascular disease.

EMT 52
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A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization"

Dr. Smith's ECG Blog

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. No similar symptoms in the past. Pericarditis?

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46 year old with chest pain develops a wide complex rhythm -- see many examples

Dr. Smith's ECG Blog

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. Leave it alone.

STEMI 88
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Circumflex Occlusion May be Subtle or Invisible on the ECG

Dr. Smith's ECG Blog

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.