See OMI vs. STEMI philosophy in action

by Emre AslangerDr. Aslanger is our newest editorial member.  He is an interventional cardiologist in Turkey. Dr. Aslanger is also the author of the DIFFOCULT study:Emre K. Aslanger,a,⁎ Özlem Yıldırımtürk,b Bar ış Şimşek,c Emrah Bozbeyo ğlu,c Mustafa Aytek Şimşek,a Can Y ücel Karabay,b Stephen W. Smith,d and Muzaffer De ğertekina  DIFOCCULT: DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction.  International Journal of Cardiology Heart& VasculatureCaseA 40-year-old man presents with excruciating back pain which has started 1 hour ago. His medical history is unremarkable except a similar pain occurred 4-5 times in the previous 3 months with less intensity, short duration, unrelated to exertion. He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. He has 40 packs-year of smoking history. There was no premature cardiovascular diseases or sudden death in his family. He denies taking any medication.On his physical examination, cardiac and pulmonary auscultation was completely normal. Peripheral pulses were all palpable. Blood pressure: 130/80 mmHg, heart rate: 45/min, respiratory rate: 18/min, SaO2: %98, body temperature: normal.As he seemed very agitated, fentanyl and diazepam were given.  His first electrocardiogram (ECG) is given below:--Sinus bradycardia. --There are ...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs