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Thread: A 55-year-old male with a past medical history of tobacco ab

Started 1 month, 1 week ago by mdass.
A 55-year-old male with a past medical history of tobacco abuse, hypertension, and diabetes mellitus is admitted to the hospital with a 3-h history of severe retrosternal chest pain radiating to the arm and neck with associated diaphoresis. His initial serum troponin is normal, as is CK-MB. The electrocardiogram shows deep symmetric T-wave inversions in the precordial leads. The patient ...
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mdass. replied 1 month, 1 week ago
The answer is B. The patient has a presentation consistent with unstable angina, including new electrocardiographic changes without elevations in cardiac biomarkers. Although it generally is true that T-wave changes do not predict the angiographic location of culprit lesions, the one exception is the eponymous Wellen's T waves. In this case deep symmetric T-wave inversions in the early ...

 

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mdass.
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A 55-year-old male with a past...
Published (2009-11-09 14:59:00)
The answer is B. The patient has a presentation consistent with unstable angina, including new electrocardiographic changes without elevations in cardiac biomarkers. Although it generally is true that T-wave changes do not predict the angiographic location of culprit lesions, the one exception is the eponymous Wellen's T waves. In this case deep symmetric T-wave inversions in the early precordial leads suggest either significant left...

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