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USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


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  #1  
Old 10-27-2012
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Default ecg

What do you see in the ecg?
background story: chest pain, 3 hours, no troponin for now (this is all the info)

many students told me that this is ACS
but i see ST elevation in AVR and reciprocal ST depression in V3-V6

1. What do you think?
2. Is there also ST elevation in AVL?
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  #2  
Old 10-27-2012
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Quote:
Originally Posted by hadas.zamir View Post
What do you see in the ecg?
background story: chest pain, 3 hours, no troponin for now (this is all the info)

many students told me that this is ACS
but i see ST elevation in AVR and reciprocal ST depression in V3-V6

1. What do you think?
2. Is there also ST elevation in AVL?
Im by no means a cardiologist haha but what I see is ST depression on leads II, III and AVF, if the troponins are not elevated this could be a case of unstable angina (assuming my stupidity didnt say any crap this time).

The management of NSTEMI and unstable angina is the same anyways..

Whats the answer?
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Old 10-27-2012
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I see ST depression in leads II, III and AVF & in V3-V6

Looks like LAD is shot.
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  #4  
Old 10-27-2012
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It looks like infero-lateral NSEMI/UA ... cardiac enzymes do not matter, management is the same.
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Old 10-28-2012
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Quote:
Originally Posted by XpaezX View Post
Im by no means a cardiologist haha but what I see is ST depression on leads II, III and AVF, if the troponins are not elevated this could be a case of unstable angina (assuming my stupidity didnt say any crap this time).

The management of NSTEMI and unstable angina is the same anyways..

Whats the answer?
Agreed.
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