Electrocardiographically Silent High Lateral STEMI Equivalent

Conclusion “His EKG was unrevealing of acute myocardial injury current and initial troponin was negative. However, the patient had ongoing intermittent chest pain during the night despite intravenous nitroglycerin and blood pressure control and serial troponin levels have become elevated. Coronary angiography is recommended for further evaluation….” “LCX — Left circumflex coronary artery is large in caliber, lateral wall obtuse marginal system, which is bifurcating along the lateral wall to the apex. A secondary stented branch is subtotally occluded with what appears to be left-to-left collaterals filling the distal PDA and tertiary marginal branches. The stented segment does not appear to have significant antegrade flow….” In other words, the culprit vessel was consistent with the prehospital ECG! 
Source: EMS 12-Lead - Category: Cardiology Authors: Tags: 12 lead ecg electrocardiographically silent high lateral stemi equivalent ischemia does not localize Source Type: research