Author: Philippe Ayres, MD Editor: Esteban Davila, MD Case: A 65-year-old male with a past medical history of hypertension, insulin-dependent diabetes, hyperlipidemia, and coronary artery disease was brought to the ED by EMS as a “STEMI notification”. He reported 5 days of malaise, myalgias, fevers, chills and two days Read more…
Case: A 40-year-old woman with a history of CAD and prior RCA stent presents to the emergency department with chest pain for one day. Her triage vitals are BP 100/60, HR 60, T 98.7, RR 20, O2 99%. You examine that patient, noticing her holding her chest in pain with Read more…
A 58-year-old male is rolled into the critical care area of your ED with the complaint of crushing, midsternal chest pain that began one hour before presentation. The nurse tells you he has a history of hypertension and hyperlipidemia but is currently not on any medications. You look at the Read more…
In a previous post, I presented a case of Takotsubo non-ischemic cardiomyopathy that met “STEMI” criteria and was diagnosed by angiography. Let’s take a moment to discuss some other non-ischemic cause of ST elevation, otherwise known as “STEMI mimics.” 1) Benign Early Repolarization and Left Ventricular Hypertrophy ST-elevation does Read more…