Pendell-DRAFT- 60f-Sudden AB Pain (4-28.1-2024)-WAIT_for_PENDELL

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MY Comment, by KEN GRAUER, MD (4/28/2024):

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Figure-1: The initial ECG in today's case.

Additional points (Beyond-the-Core) regarding interpretation of today's initial ECG:

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Pendell-DRAFT-BLANK- XXX (4-21.1-2024)-BLANK DRAFT

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Figure-1: The initial ECG in today's case. (To improve visualization — I've digitized the original ECG using PMcardio).

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Pendell DRAFT as of 4-21.1-2024: 

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A 60-something woman complained of sudden severe abd pain. She was found agitated, hypotensive, diaphoretic, and in shock by medics.

There were 2 prehospital ECGs:

What do you think?

Here is the Queen of Hearts interpretation:

There is a second prehospital ECG:

This time the Queen thinks it is not OMI:

There were runs of VT:

Tha patient arrived in profound shock and had an ED ECG:

The interventionalist stated that he could not do the procedure while the patient has a blood pressure of 45 systolic.

the patient was put on arterio-venous ECMO.

Angiogram was done.

There was a 100% Left Main Occlusion (OMI).

The patient ultimately died.