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Case Report: Acute Coronary Syndrome Symptoms Require Repeat ECGs

By Alexandra Ferguson, MD | on May 18, 2021 | 0 Comment
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Figure 2: The patient’s initial ECG 10 minutes after presentation.

Dr. Ferguson is a PGY-3 emergency medicine resident at Wright State University in Dayton, Ohio.

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ACEP Now: Vol 40 – No 05 – May 2021

References

  1. Hillis GS, Fox KA. Cardiac troponins in chest pain can help in risk stratification. BMJ. 1999;319(7223):1451-1452.
  2. Hwang C, Levis JT. ECG diagnosis: ST-elevation myocardial infarction. Perm J. 2014;18(2):e133.
  3. Kumar A, Cannon CP. Acute coronary syndromes: diagnosis and management, part I. Mayo Clin Proc. 2009;84(10):917-938.
  4. Nikus K, Birnbaum Y, Eskola M, et al. Updated electrocardiographic classification of acute coronary syndromes. Curr Cardiol Rev. 2014;10(3):229-236.
  5. Wilner B, de Lemos JA, Neeland IJ. LBBB in patients with suspected MI: an evolving paradigm. American College of Cardiology website. Accessed March 16, 2021.
  6. Riley R, Mccabe J. ST-segment elevation myocardial infarction: challenges in diagnosis. US Cardiol Rev. 2016;10(2):91-94.
  7. Meyers HP, Bracey A, Lee D, et al. Comparison of the ST-elevation myocardial infarction (STEMI) vs. NSTEMI and occlusion MI (OMI) vs. NOMI paradigms of acute MI. J Emerg Med. 2021;60(3):273-284.
  8. Silber SH, Leo PJ, Katapadi M. Serial electrocardiograms for chest pain patients with initial nondiagnostic electrocardiograms: implications for thrombolytic therapy. Acad Emerg Med. 1996;3(2):147-152.

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Topics: Acute Coronary SyndromeCardiacCase Reportsmyocardial ischemiaNSTEMISTEMI

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