tag:blogger.com,1999:blog-3364570834099131201.post140151571467930247..comments2024-03-23T08:57:50.965-04:00Comments on ECG Interpretation: ECG Blog #2 — "Smiley" ST Elevation ECG Interpretationhttp://www.blogger.com/profile/02309020028961384995noreply@blogger.comBlogger2125tag:blogger.com,1999:blog-3364570834099131201.post-89481457785509629842017-10-04T23:41:27.284-04:002017-10-04T23:41:27.284-04:00@ Anonymous — "Ya gotta be there". If th...@ Anonymous — "Ya gotta be there". If the history was not at all suggestive of ACS in an otherwise healthy young adult with pleuritic chest pain — then the odds are great that this is not ACS. If on the other hand the history was indeed suggestive of new-onset chest pain — then despite J-point notching + upward concavity ST elevation in most leads, one would have to go further to rule out ACS. Serial tracings and a stat Echo during symptoms looking for wall motion abnormality would be helpful. It IS of course possible to have ACS superimposed on a baseline tracing of early repolarization — and there are times when distinction between benign vs ACS is not readily apparent (if possible at all) from a single tracing.ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-3364570834099131201.post-82536566144156688312017-10-02T16:48:47.961-04:002017-10-02T16:48:47.961-04:00ST elevation in lead V3 is quite straight... In a...ST elevation in lead V3 is quite straight... In a young patient with pleuritic chest pain with recent URI, i would still consider ACS 1st in the differential.. Any thoughts? Thank you.. Anonymousnoreply@blogger.com