STEMI Without The "STE"
HPI: 57 y/o woman with remote hx of CABG/PCI presents with 2 hrs of 6-10/10 substernal chest tightness and SOB. No recent cardiac events/complaints. Initial troponin is 1.48.
Question: Is this patient experiencing a STEMI despite the lack of ST elevations ≥1mm? How would you diagnose this and explain to your cardiology consultants?
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EM Off Service Cardiology Rotator