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84 matches for “STEMI” — showing 1–30
Cardiology · Acute pericarditis ECG pattern ★ HY difficulty 3/5

A 28-year-old man named Kwame is brought to the Komfo Anokye ED with two days of sharp, central chest pain that worsens on leaning forward and improves when he sits upright. He had a fever and sore th…

Cardiology · Modified Sgarbossa criteria for LBBB ★ HY difficulty 4/5

Adwoa, a 62-year-old woman with a known history of hypertension and previous inferior MI, is referred from a district hospital in the Upper East Region to the regional hospital ED with a 90-minute his…

Cardiology · AV block in inferior STEMI — risk stratification ★ HY difficulty 4/5

A 60-year-old woman, Afia, is brought to the Korle Bu Emergency Centre with sudden-onset severe chest pain radiating to the left arm for 90 minutes, associated with diaphoresis. She has a history of h…

Cardiology · Complete heart block complicating inferior MI ★ HY difficulty 3/5

A 72-year-old man, Joseph, is referred from a district hospital in Brong-Ahafo to the regional hospital ED following an inferior STEMI managed 18 hours earlier with streptokinase. He now complains of …

Cardiology · Hyperacute T waves — earliest STEMI sign ★ HY difficulty 3/5

A 55-year-old woman, Akosua, presents to a regional hospital emergency department in the Volta Region with a 40-minute history of severe central chest tightness radiating to the left arm, diaphoresis,…

Cardiology · Posterior MI on standard 12-lead ECG ★ HY difficulty 3/5

A 67-year-old retired fisherman from the Central Region is brought to a regional hospital emergency department by his family with a 90-minute history of severe central chest pain, sweating, and dizzin…

Cardiology · Brugada pattern ECG ★ HY difficulty 4/5

A 48-year-old man is brought to a district hospital in Brong-Ahafo Region with sudden onset of severe chest pain that began 90 minutes ago while he was at rest. He has no prior cardiac history. Vitals…

Cardiology · STEMI reperfusion decision-making ★ HY difficulty 4/5

Kofi, a 52-year-old hypertensive farmer, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital with a 90-minute history of severe crushing central chest pain radiatin…

Cardiology · Inotrope choice in cardiogenic shock ★ HY difficulty 4/5

A 70-year-old man is brought to the Korle Bu emergency centre by his son with a 2-hour history of sudden-onset breathlessness. He has a history of ischaemic heart disease and was discharged from a reg…

Cardiology · Dissection vs STEMI - clinical discrimination and management ★ HY difficulty 4/5

A 45-year-old woman, Yaa, is referred from a district hospital in the Upper East Region with a two-hour history of acute-onset severe chest pain radiating to her jaw and left arm. BP is 160/95 mmHg bi…

Cardiology · De Winter T-wave pattern ★ HY difficulty 4/5

Mohammed, a 44-year-old long-distance truck driver, is brought to a regional hospital ED in Northern Ghana by his co-driver after 40 minutes of severe anterior chest pain, nausea, and sweating. His pa…

Cardiology · Right ventricular infarction — V4R ST elevation ★ HY difficulty 3/5

A 58-year-old man, Mohammed, is brought by family to the Komfo Anokye ED after 2 hours of severe crushing chest pain radiating to the left arm. He is diaphoretic and anxious. Vitals: BP 88/60 mmHg, HR…

Cardiology · Acute pericarditis ECG ★ HY difficulty 3/5

Kwame, a 28-year-old university student, presents to the Komfo Anokye ED with a 3-day history of sharp central chest pain that worsens on lying flat and improves when he leans forward. He had a febril…

Cardiology · Inferior STEMI with RV involvement ★ HY difficulty 4/5

A 67-year-old man named Mohammed is brought to the Tamale Teaching Hospital ED by his family with one hour of crushing retrosternal chest pain radiating to the jaw, accompanied by profuse sweating. He…

Cardiology · STEMI - thrombolysis pharmacology and complications ★ HY difficulty 3/5

Kofi, a 55-year-old male teacher, is brought to a district hospital in Brong-Ahafo with a 90-minute history of severe anterior chest pain and diaphoresis. His 12-lead ECG shows 4 mm ST elevation in V1…

Cardiology · STEMI - ECG localisation and mechanism ★ HY difficulty 2/5

Kwame, a 58-year-old male farmer, presents to the regional hospital A&E in Ashanti Region with a 3-hour history of severe, crushing central chest pain radiating to his left arm, associated with diapho…

Cardiology · Atypical MI in elderly - autonomic neuropathy mechanism ★ HY difficulty 3/5

A 78-year-old woman, Adwoa, is brought to the Komfo Anokye ED by her daughter who noticed her mother was 'not herself' since the previous evening. Adwoa has a history of hypertension and type 2 diabet…

Cardiology · Aortic dissection masquerading as STEMI ★ HY difficulty 4/5

A 48-year-old man, Kofi, presents to the Komfo Anokye ED with a 3-hour history of sudden tearing chest pain radiating to the jaw and both arms. He is a known hypertensive, non-diabetic, and on no regu…

Cardiology · STEMI thrombolysis ★ HY difficulty 3/5

Yaw, a 54-year-old man with no known medical history, is brought to a district hospital in the Ashanti Region by his wife, who reports he has had persistent chest pain for 3 hours. He is hypertensive …

Cardiology · STEMI - thrombolysis pharmacology and PCI vs lysis decision ★ HY difficulty 4/5

A 63-year-old woman, Adwoa, is brought to a district hospital A&E in Brong-Ahafo after 2.5 hours of severe anterior chest pain. She has no prior cardiac history and takes no regular medications. Exami…

Cardiology · Wellens syndrome — critical LAD stenosis ★ HY difficulty 4/5

A 62-year-old woman, Yaa, presents to the Komfo Anokye Teaching Hospital ED with a 6-hour history of chest tightness that has now resolved. She is currently pain-free and haemodynamically stable: BP 1…

Cardiology · Cardiogenic shock - vasopressor selection ★ HY difficulty 3/5

Kofi, a 54-year-old man with no known cardiac history, is referred from a district hospital in Brong-Ahafo to the regional hospital A&E after a 6-hour history of crushing central chest pain radiating …

Cardiology · Cardiogenic shock ★ HY difficulty 4/5

Mohammed, a 62-year-old retired civil servant with hypertension and a 30-pack-year smoking history, arrives at a regional hospital emergency department in the Northern Region brought by family after c…

Cardiology · Lateral STEMI localisation and thrombolysis at district level ★ HY difficulty 3/5

Kwame, a 54-year-old civil servant with no prior cardiac history, presents to a district hospital in the Bono Region with 2.5 hours of chest pain, shortness of breath, and left shoulder discomfort. Vi…

Cardiology · STEMI thrombolysis window ★ HY difficulty 3/5

Kofi, a 58-year-old male farmer, is brought by relatives to a district hospital A&E in Brong-Ahafo with 2 hours of crushing central chest pain radiating to his left arm. Vitals: BP 148/90 mmHg, HR 92 …

Cardiology · Cardiogenic shock recognition ★ HY difficulty 4/5

Kwame, a 63-year-old diabetic man, is in the resus bay at Komfo Anokye ED with an anterior STEMI and cardiogenic shock. BP is 74/48 mmHg, HR 124 bpm, SpO2 84% on 15 L/min oxygen via non-rebreather mas…

Cardiology · Hyperacute T waves as STEMI equivalent ★ HY difficulty 4/5

Kofi, a 47-year-old male trader, presents to a regional hospital ED in the Ashanti Region with a 3-hour history of sudden-onset chest pain described as 'tight and pressing', with nausea. He has no pri…

Cardiology · HEART score components and thresholds ★ HY difficulty 3/5

Mohammed, a 62-year-old man with known hypertension and a 20 pack-year smoking history, is seen in the ED of Tamale Teaching Hospital with a 6-hour history of pressure-like chest pain that began at re…

Cardiology · STEMI vs NSTEMI - pathophysiology ★ HY difficulty 3/5

A 58-year-old man, Kwame, is brought to the Komfo Anokye ED by relatives with a 3-hour history of severe, crushing central chest pain radiating to the left arm, associated with diaphoresis and nausea.…

Cardiology · STEMI thrombolysis window ★ HY difficulty 2/5

A 65-year-old woman is referred from a peripheral clinic to Komfo Anokye ED with 8 hours of central chest tightness. Vitals: BP 136/84 mmHg, HR 88 bpm, SpO2 97% on air. ECG shows 2.5 mm ST elevation i…