- Emergency Medicine
Clinical Assistant Professor, Emergency Medicine
Board Certification: Emergency Medicine, American Board of Emergency Medicine (2019)
Board Certification, Emergency Medicine, American Board of Emergency Medicine (2019)
Residency: Baylor College of Medicine Emergency Medicine Residency (2018) TX
Medical Education: Stanford University School of Medicine Registrar (2015) CA
- Asymptomatic ST elevation myocardial infarction HEART & LUNG 2018; 47 (4): 363–65
Asymptomatic ST elevation myocardial infarction.
Heart & lung : the journal of critical care
BACKGROUND: A 71-year-old non-smoking female with a history of diabetes, hypertension, hyperlipidemia and end-stage renal disease presented to the emergency department for right leg pain due to an ankle fracture.CASE: The patient's initial electrocardiogram (ECG) revealed ST segment elevations in the anterior leads. She denied any chest pain, shortness of breath, fatigue, lightheadedness, palpitations, nausea or diaphoresis. Her initial laboratory Troponin I resulted 35.9ng/mL. Coronary catheterization demonstrated 99% occlusion of the left anterior descending (LAD) coronary artery. The patient had 2 drug eluting stents placed in the LAD with 10% residual stenosis.CONCLUSION: Although witnessing an ongoing asymptomatic ST elevation myocardial infarction (STEMI) is rare, this case highlights the importance of early revascularization when the ECG demonstrates a STEMI, even in the absence of symptoms for patients at risk for silent myocardial infarctions.
View details for PubMedID 29861276