ECG Guru - Instructor Resources - Spodick's sign https://www.ecgguru.com/ecg/spodicks-sign en Anterior Wall M.I. https://www.ecgguru.com/ecg/anterior-wall-mi-0 <div class="field field-name-field-ecg field-type-image field-label-hidden"><div class="field-items"><div class="field-item even"><a href="/ecg/anterior-wall-mi-0"><img typeof="foaf:Image" src="https://www.ecgguru.com/sites/default/files/AW102A.jpg" width="2147" height="509" alt="" /></a></div></div></div><div class="field field-name-field-ecg-interpretation field-type-text-long field-label-hidden"><div class="field-items"><div class="field-item even"><p><span style="font-size: 13.0080003738403px; line-height: 20.0063037872314px;">This ECG was taken from a 60 year old man who was complaining of severe substernal chest pain, radiating to his left arm and a non-productive cough.&nbsp; There was some initial discussion among the EMS crew &nbsp;about the possibility of the ECG showing a "<a title="BER ECG Guru" href="http://www.ecgguru.com/ecg/early-repolarization">benign early repolarization</a>" pattern because of the concave upward ("smiling") ST segments. &nbsp;They also considered a diagnosis of <a title="Pericarditis ECG Guru" href="http://www.ecgguru.com/ecg/pericarditis">pericarditis</a>, because the ST segments seem widespread. &nbsp;The baseline artifact makes it difficult to evaluate for PR segment depression or <a title="Spodicks Sign Dr. Mattu" href="http://www.mededmasters.com/pericarditis.html">Spodick's Sign</a>.</span></p><p><span style="font-size: 13.0080003738403px; line-height: 20.0063037872314px;">The patient's age (60 years) and troubling symptoms (chest pain radiating to the left arm) ruled out BEP for the paramedics. &nbsp;The ST segment elevations are pretty widespread - Leads V3, V4, V5, V6, I and II all show some STE. &nbsp;There are also "hyperacute" T waves in the leads with STE. &nbsp;There are ST abnormalities ranging from flattening of the shape to depression, but the bottom line is this patient is a <strong>60-year-old man with substernal chest pain radiating down his left arm!</strong></span></p><p><span style="font-size: 13.0080003738403px; line-height: 20.0063037872314px;">The patient was treated in the ambulance with chest pain protocols, and was transferred to a hospital with an interventional cath lab. &nbsp;The patient was conculusively diagnosed with an acute M.I. and underwent angioplasty.</span></p><p><span style="font-size: 13.0080003738403px; line-height: 20.0063037872314px;">This is a good ECG to demonstrate subtle changes when, combined with patient presentation, can help us diagnose a coronary event. &nbsp;It helps us emphasize that not all STEMIs will have dome-shaped, "tombstone" ST segments, and that patient symptoms, history, and age are important to consider.</span></p></div></div></div><div class="field field-name-field-rate-this-content field-type-fivestar field-label-above"><div class="field-label">Rate this content:&nbsp;</div><div class="field-items"><div class="field-item even"><form class="fivestar-widget" action="/taxonomy/term/596/feed" method="post" id="fivestar-custom-widget" accept-charset="UTF-8"><div><div class="clearfix fivestar-average-text fivestar-average-stars fivestar-form-item fivestar-hearts"><div class="form-item form-type-fivestar form-item-vote"> <div class="form-item form-type-select form-item-vote"> <select id="edit-vote--2" name="vote" class="form-select"><option value="-">Select rating</option><option value="20">Give Anterior Wall M.I. 1/5</option><option value="40">Give Anterior Wall M.I. 2/5</option><option value="60">Give Anterior Wall M.I. 3/5</option><option value="80" selected="selected">Give Anterior Wall M.I. 4/5</option><option value="100">Give Anterior Wall M.I. 5/5</option></select> <div class="description"><div class="fivestar-summary fivestar-summary-average-count"><span class="average-rating">Average: <span >4</span></span> <span class="total-votes">(<span >1</span> vote)</span></div></div> </div> </div> </div><input class="fivestar-submit form-submit" type="submit" id="edit-fivestar-submit" name="op" value="Rate" /><input type="hidden" name="form_build_id" value="form-cnuVPSiZ4GfptY8GezoZsmmCsJpsfffbrgtCXDioiaQ" /> <input type="hidden" name="form_id" value="fivestar_custom_widget" /> </div></form></div></div></div><div class="field field-name-field-taxonomy field-type-taxonomy-term-reference field-label-above"><div class="field-label">Related Terms:&nbsp;</div><div class="field-items"><div class="field-item even"><a href="/ecg/anterior-wall-mi-5" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Anterior wall M.I.</a></div><div class="field-item odd"><a href="/ecg/stemi" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">STEMI</a></div><div class="field-item even"><a href="/ecg/hyperacute-t-waves" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Hyperacute T waves</a></div><div class="field-item odd"><a href="/ecg/myocardial-infarction" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Myocardial infarction</a></div><div class="field-item even"><a href="/ecg/st-elevation" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">ST elevation</a></div><div class="field-item odd"><a href="/ecg/benign-early-repolarization" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Benign early repolarization</a></div><div class="field-item even"><a href="/ecg/pericarditis" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Pericarditis</a></div><div class="field-item odd"><a href="/ecg/spodicks-sign" typeof="skos:Concept" property="rdfs:label skos:prefLabel" datatype="">Spodick&#039;s sign</a></div></div></div><ul class="links inline"><li class="addtoany first last"><span><span class="a2a_kit a2a_target addtoany_list" id="da2a_1"> <a class="a2a_dd addtoany_share_save" href="https://www.addtoany.com/share#url=https%3A%2F%2Fwww.ecgguru.com%2Fecg%2Fanterior-wall-mi-0&amp;title=Anterior%20Wall%20M.I."><img src="/sites/all/modules/addtoany/images/share_save_256_24.png" width="256" height="24" alt="Share"/></a> </span> <script type="text/javascript"> <!--//--><![CDATA[//><!-- if(window.da2a)da2a.script_load(); //--><!]]> </script></span></li> </ul> Mon, 09 Feb 2015 05:33:01 +0000 Dawn 621 at https://www.ecgguru.com https://www.ecgguru.com/ecg/anterior-wall-mi-0#comments