CASE CONTINUED; pt was NOT rushed to cathlab and seen by car | Figure 1

MSarto

Registered Nurse

CASE CONTINUED; pt was NOT rushed to cathlab and seen by cardio in the morning; diagnosed as NSTEMI but sent to cathlab that same morning. 100% blockage at mid-RCA. Fig#2 is EKG post-stenting roughly 16hrs later.

Trending now

Similar cases

53yoM c/o sudden onset CP, SOB, and Weakness after smoking his morning cigarette, only prior he controlled HTN
Early morning STEMI alert, attempted to fly the pt for rapid transport to PCI capable facility but cancelled due to weather, still made within 90min window.](https://app.figure1.com/case-detail/284252fe-71f8-4a0b-a192-8cc3b19096fd)

43M accompanied by ambulance, c/o CP. Ø family Hx or PMHx, Denies drug or substance abuse. Hypotensive on arrival. VT X 1 prior to cathlab arrival. Break down the ekg for me and tell me what I should expect to see in the cathlab](https://app.figure1.com/case-detail/4b219d9e-6125-42dd-9f58-6ce2cfc05e31)

re and post cath photos of (my first) STEMI. Mid aged male C/O CP, tingling extremities, and slight SOB. Transported from smaller ER to ER with a CathLab. 12 lead, Nitro drip, Heparin drip, O2 during transport. ASA, 3 sublingual Nitro, and Verapamil bolus pta. Guy walked out of the hospital 3 days later#STEMI #CathLab](https://app.figure1.com/case-detail/5094504f-d53f-48ec-b322-6c547f81486f)

60's M, initially presenting to ER early evening, unaccompanied, with intermittent CP x 1hr. On arrival, states that pain had subsided. EKG was done and show to cardio at cathlab, who refused the pt on the basis that pt had no longer had the pain. TropHS (-) 16 -> (+) >2000 after several hours. Pt still had no CP But trops continued to rise. Kept in ER overnight and transferred to cathlab as non-urgent. Awaiting results of cathlab; will f/u once I have the results. Do you agree with the decisions of the cardiologist at the cathlab?](https://app.figure1.com/case-detail/75ad5b5a-7103-4c0c-b808-c215a28577e3)

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 reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets.
Physical examination revealed multiple small vesicles, some clustered and others scattered, 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 on the chin, along with a few scattered papules on the chest.](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 history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?](https://app.figure1.com/case-detail/2af390e1-ace8-40ed-ba1c-98fb2d72f4c5)