This is a follow up on linked case. Patient had cardiac cath | Figure 1

This is a follow up on the linked case. Patient had cardiac cath and repeat echo. In rereading my original post, I stated that patient's echo was essentially normal; however, I neglected to mention that echo was from one month prior to admission. Patient had a repeat echo which is posted here. Excellent commentary on initial post. As many of you mentioned, this was not an acute MI, but based on the findings above, he did have a recent MI (asymptomatic). I localized the VT to mid anterior/lateral. As @MedialApproach astutely pointed out, VT was likely due to a LCx occlusion, and cath confirmed this. Below are a few of my thoughts on this case and the comments from the initial post.

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A lot of debate on the EKG. 70YOM found unresponsive and hypotensive, VT cardiac arrest very shortly after the EKG. My initial interpretation is a sinus rhythm with a RBBB, and probably lateral MI. Thoughts?](https://app.figure1.com/case-detail/2faca85a-82fc-4738-bc05-148d18cc8ce7)


pre and post conversion 12 leads for a previous case I posted of a 64-year-old male with SVT and then VT](https://app.figure1.com/case-detail/33145363-36b8-4c2b-a9f6-9d6d515f8d69)


80 y/o F admitted with syncope, initial ECG and troponin neg. brief period of chest pain on floor prompted repeat ECG...troponin peaked at 133, found to have 90-95% occlusion of pLAD, post cath echo showed EF of 40-45%.](https://app.figure1.com/case-detail/3924c9f3-6886-402c-9c93-4a79b6567da6)


Update from previous case: patient successfully underwent cath and was discharged a few days later.](https://app.figure1.com/case-detail/397443b6-1b12-46b6-b80e-ea633a6b1555)


A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.](https://app.figure1.com/case-detail/ae0fe999-6875-4474-94f0-ad823dbb9b3a)


A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, predominantly involving the lumbar region and the left gluteal area.](https://app.figure1.com/case-detail/c271070f-2bc7-4052-9895-635277e1a7d5)


A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs.](https://app.figure1.com/case-detail/48f41642-b9db-4089-b120-a94ee52328de)


patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no features in this EKG that warrant further work-up or is this just a pediatric EKG?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)