REBEL Core Cast 104.0 – Subtle ECGs in Acute Coronary Occlusion
REBEL Cast
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The Importance of Repeating an EKG in 10 Minutes
You should definitely repeat an EKG in 10 minutes. A lot of the times these are the early precursors, and you can really tell based on how their symptoms have progressed or when they started. De-winter T-waves is a pretty uncommon EKG finding. Even though it is not the typical steamy pattern, I should be activating the cath lab immediately or this can be a delayed catheterization.
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Take Home Points Provider assessment of how the patient looks is extremely important. If it looks and feels like a STEMI clinically, get serial ECGs and consult Cardiology immediately. POCUS has been a phenomenal tool in the management and early diagnosis of a lot of abnormal ECG and chest pain presentations. Isolated elevation in aVR ... 
