ED MICU STEMI 
EMS 12-Lead
AUGUST 14, 2022
MICU transport was unremarkable. The ST changes went overlooked by both the ED physician and the on-call cardiologist, and the patient was subsequently admitted to telemetry. it has been subsequently deemed a STEMI-equivalent. But the lesion is still active! This is demonstrated by lingering Hyperacute T waves in V2-V5 (i.e.
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. EKG is concerning for acute STEMI with STE in lead I and aVL with reciprocal changes. The patient is also hypotensive and hypoxic, concerning for cardiogenic shock.
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