Our patient has chest pain. The EKG looks "almost normal." Two hours later, they're in cardiogenic shock.
These are the 8 EKG patterns in acute MI that are subtle enough to miss and dangerous enough to be fatal — de Winter T-waves, posterior MI, Wellens syndrome, and five others that don't announce themselves with obvious ST elevations. Each one explained with the exact leads to look at and the clinical context that should raise your suspicion.
Built for internal medicine residents, emergency medicine physicians, and hospitalists preparing for ABIM boards.
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