Remove Coronary Remove EMS Remove MICU
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Chest pain, followed by syncope, and cardiogenic shock with right side weakness

Dr. Smith's ECG Blog

male presents to the stabilization room by EMS with initial concern for possible stroke. EMS called who noted right sided deficits and altered mental status who activated a prehospital stroke code. I was called by Dr. YYYY from the Cath Lab - we reviewed the coronary anatomy. This has been similar in the MICU as well.

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Something Winter This Way Comes

EMS 12-Lead

EMS personnel found him seated on a bench, uncomfortable, but without gross distress. A second 12 Lead ECG was recorded: This is a testament to the dynamic nature of coronary thrombosis and thrombolysis. MICU transport was unremarkable. He waited for it to subside, but after 30 minutes of persistence he called 911.

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Don’t stress, it’s just an ECG…

Core EM

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. She was taken urgently to cardiac catheterization, which revealed mild diffuse coronary artery disease without occlusion and an estimated Ejection Fraction (EF) of 45%.