Posts Tagged ‘STEMI’
Cardiogenic Shock: Which Vasopressor to use
In the patient who presents with cariogenic shock, the cath lab and a stent or a CABG is probably the treatment of choice, however we don’t always have those luxuries. What inotrope(s) do we use in cariogenic shock? How do we approach those patients for the best outcome? Here is a recent case. It is…
Read MoreDe Winter’s T waves
De Winter’s T Waves were first described by De Winter in an article to the editor of the New England Journal of Medicine in 2008(1). They are considered an ST-elevation myocardial infarction(STEMI) equivalent and knowledge of this sign is important as ST depression is not the classic appearance of an STEMI. Using ECG’s from a large…
Read MorePericarditis, Benign Early Depolarisation or STEMI
Differentiating between Pericarditis, Benign Early Depolarisation and ST Elevation Myocardial Infarction can sometimes be difficult. CASE A 35 yo male presents with palpitations and pleuritic chest pain. He’s recently had a viral illness but has no other medical history. At 1am in the morning, the patient was woken by palpitations. He now complains of left…
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