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84 matches for “STEMI” — showing 61–84
ECG - STEMI Equivalents · Posterior STEMI - mirror image pattern and posterior leads ★ HY difficulty 3/5

Abena, a 58-year-old woman with hypertension, presents to the Korle Bu emergency centre with a 3-hour history of sudden-onset severe chest pain, dyspnoea, and profuse sweating. Her blood pressure is 1…

ECG - STEMI Equivalents · de Winter T-wave pattern - proximal LAD occlusion ★ HY difficulty 4/5

Kofi, a 47-year-old man with no known cardiac history, presents to a district hospital in Brong-Ahafo with a 90-minute history of severe chest pain. He is diaphoretic and his blood pressure is 130/80 …

ECG - STEMI Equivalents · Sgarbossa criteria applied to ventricular paced rhythm ★ HY difficulty 3/5

Kofi, a 71-year-old man with a permanent dual-chamber pacemaker implanted 4 years ago for complete heart block, presents to the Korle Bu emergency centre with 90 minutes of typical ischaemic chest pai…

ECG - STEMI Equivalents · Smith-modified Sgarbossa criteria in ventricular paced rhythm ★ HY difficulty 4/5

Akua, a 64-year-old woman with no prior cardiac history, is brought to a district hospital A&E in Brong-Ahafo with 3 hours of severe epigastric pain and vomiting. She was initially treated for gastrit…

POCUS - Cardiac · Parasternal Short Axis - Regional Wall Motion Abnormality ★ HY difficulty 3/5

Kofi, a 67-year-old man with a history of smoking and ischaemic heart disease, presents to the regional hospital A&E in Kumasi with sudden-onset central chest pain radiating to the jaw, diaphoresis, a…

Resuscitation · Post-arrest precipitating pathology — STEMI ★ HY difficulty 3/5

Yaw, a 50-year-old man, suffers a witnessed cardiac arrest in the Korle Bu medical ward. He achieves ROSC after 25 minutes of CPR. He is transferred to the emergency centre. On arrival he is intubated…

Resuscitation · Mean arterial pressure goal ★ HY difficulty 3/5

Mohammed, a 61-year-old man with type 2 diabetes mellitus and a previous STEMI, is referred from a district hospital in the Northern Region to Tamale Teaching Hospital after successful resuscitation f…

Cardiology · Cardiogenic shock recognition difficulty 2/5

A 70-year-old man is brought by relatives to Korle Bu emergency centre with chest pain and sudden-onset breathlessness. Vitals: BP 82/50 mmHg, HR 118 bpm, RR 28/min, SpO2 88% on air. Examination revea…

Cardiology · STEMI - failed thrombolysis and rescue PCI difficulty 4/5

Mensah, a 70-year-old retired civil servant with hypertension and hyperlipidaemia, received streptokinase 1.5 million units IV for an acute anterior STEMI at a district hospital in the Northern Region…

Cardiology · Lateral STEMI I/aVL/V5–V6 difficulty 3/5

Adwoa, a 54-year-old woman, presents to a district hospital in the Brong-Ahafo region with 4 hours of left-sided chest pain and shortness of breath. She is a known smoker with dyslipidaemia. Vitals: B…

Cardiology · Post-MI mechanical complications - VSD vs papillary muscle rupture vs free wall rupture difficulty 4/5

A 71-year-old man, Mensah, was admitted to Korle Bu emergency centre 5 days ago with an anterior STEMI that was treated with primary PCI and drug-eluting stent to the left anterior descending artery. …

Cardiology · Aslanger pattern — inferior STEMI with multivessel disease difficulty 5/5

Afia, a 61-year-old retired teacher with hypertension and type 2 diabetes, presents to the Komfo Anokye ED with 2 hours of epigastric pain, nausea, and vomiting. She initially believed it was her 'sto…

Cardiology · Takotsubo cardiomyopathy ECG difficulty 4/5

Abena, a 61-year-old woman with a history of anxiety disorder, is brought to the Korle Bu emergency centre by her daughter after collapsing at a family funeral 3 hours ago. She describes severe subste…

Cardiology · Pericarditis ECG staging difficulty 3/5

A 35-year-old woman named Afia is seen in the Korle Bu emergency centre with a two-day history of sharp left-sided chest pain worsening with inspiration and lying flat. She had an upper respiratory tr…

Cardiology · Benign early repolarisation difficulty 2/5

A 22-year-old male student named Kofi presents to a regional hospital ED in Kumasi complaining of occasional palpitations and mild dizziness. He is otherwise well, takes no medications, does not smoke…

Cardiology · ECPR escalation in refractory VF difficulty 4/5

A 58-year-old woman, Afia, is in the resuscitation bay of the Korle Bu emergency centre. She collapsed 25 minutes ago with confirmed STEMI by pre-hospital ECG. She has been in VF for the past 20 minut…

Cardiology · Visual ejection fraction estimation — apical 4-chamber difficulty 2/5

A 72-year-old woman, Yaa, is brought to the Korle Bu emergency centre with a 4-hour history of central chest pain radiating to the jaw. She is diaphoretic and distressed. Vital signs: BP 88/54 mmHg, H…

ECG - STEMI Equivalents · Pitfall - unchanged paced ECG masking acute MI; Smith-modified Sgarbossa ST/S ratio difficulty 4/5

Yaw, a 51-year-old man with a history of ischaemic cardiomyopathy and an implanted dual-chamber pacemaker, presents to the Korle Bu emergency centre with 90 minutes of typical chest pain. His blood pr…

ECG - STEMI Equivalents · aVR ST elevation - LMCA or proximal LAD occlusion equivalent difficulty 4/5

Kofi, a 47-year-old male trader with no known medical history, is brought by taxi to a district hospital A&E in Brong-Ahafo with 90 minutes of severe crushing chest pain radiating to the jaw and left …

ECG - STEMI Equivalents · New LBBB - paradigm change post-2013, not automatic STEMI difficulty 3/5

Yaa, a 55-year-old woman with hypertension, presents to a regional hospital A&E in the Ashanti Region with a 1-hour history of palpitations and mild chest tightness. She has no prior cardiac history. …

ECG in Poisoning and Toxicology · Cocaine cardiac toxicity - avoid pure beta-blockers, benzodiazepines first-line difficulty 4/5

Kofi, a 42-year-old man with no known medical history, is brought to the Korle Bu emergency centre after collapsing during an argument. Bystanders report he had been using 'crack' cocaine earlier that…

POCUS - Cardiac · Parasternal Short Axis - Regional Wall Motion Abnormality difficulty 3/5

Kofi, a 47-year-old man with no known cardiac history, presents to a regional hospital A&E in the Ashanti Region with sudden onset central chest tightness, diaphoresis, and dyspnoea for two hours. His…

Procedures - Vascular Access · Intraosseous access - humeral head technique in adults difficulty 3/5

Mensah, a 55-year-old man with type 2 diabetes and obesity (BMI 38), presents to Tamale Teaching Hospital ED in cardiogenic shock following an anterior STEMI. All peripheral access attempts have faile…

Resuscitation · ECPR cannulation strategy difficulty 4/5

A 44-year-old man, Yaw, develops refractory cardiac arrest in the Korle Bu cardiac catheterisation laboratory 10 minutes into a primary PCI procedure for an acute anterior STEMI. CPR is commenced imme…