Coronary Heart Attack OR 
Peter Canning
JUNE 8, 2025
It wasn’t long before we started doing thrombectomies, a procedure similar to what is done for heart attack patients. Giving thrombolytics to a patient already bleeding in the brain could kill them. Not everyone calls the minute their stroke strikes so we are often arriving past the stroke window or very late in the window.
The Skeptics' Guide to EM
NOVEMBER 25, 2023
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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The Skeptics' Guide to EM
JULY 2, 2022
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.
Dr. Smith's ECG Blog
MARCH 2, 2009
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.
Dr. Smith's ECG Blog
NOVEMBER 23, 2022
He stated it was similar to prior heart attacks. At times — the initial subtle findings simply represent a phase of "pseudo-normalization" that may occur soon after spontaneous reopening of an acutely occluded coronary artery. Today's patient is high-risk ( ie, in a high "prevalence" group for having an acute coronary event ).
Dr. Smith's ECG Blog
MAY 13, 2024
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.
EMT Training Station
JUNE 18, 2023
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.
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