Dr. Smith's ECG Blog
MAY 27, 2024
The ECG did not meet STEMI criteria, and the final cardiology interpretation was “ST and T wave abnormality, consider anterior ischemia”. There’s only minimal ST elevation in III, which does not meet STEMI criteria of 1mm in two contiguous leads. But STEMI criteria is only 43% sensitive for OMI.[1]
Dr. Smith's ECG Blog
MAY 2, 2019
They wanted to know if I would like them to activate the outside hospital's "STEMI alert." But of course, this is not a STEMI by definition as it does not meet STEMI criteria. The STEMI guidelines do state that hyperacute T-waves "may indicate early acute myocardial infarction" but do not discuss it as a "STEMI equivalent."
Dr. Smith's ECG Blog
SEPTEMBER 20, 2011
This is as clear a STEMI as you can get. So this is classic inferoposterior STEMI on the ECG but is NOT acute coronary syndrome! This is consistent with MI, though one cannot tell if it is new or old. The structure at the bottom that is moving is the mitral valve, with anterior and posterior leaflets. The Q-wave in lead III persists.
Frontiers in Cardiovascular Medicine
OCTOBER 7, 2024
BackgroundIn Thailand, access to specific pharmaceuticals and medical devices for ST-elevation myocardial infarction (STEMI) patients is restricted within certain healthcare systems, leading to inequalities in the quality of medical care among different healthcare systems.
Open Heart
OCTOBER 9, 2024
Methods A retrospective clinical cohort study was performed using data from the English National Institute for Health Research Health Informatics Collaborative (2010–2017). to 0.64) after non-ST-elevation (NSTE)-ACS and one-third as likely after STEMI (OR 0.30, 95% CI 0.19 After STEMI, the respective ORs were 1.20 (95% CI 0.84
Ken Grauer, MD
MAY 28, 2024
12:15 — Regarding my experience from the 1980s until ~2010: How I went from hating computer interpretations to loving them ( after I finally understood what the computer can and can not do ). 2:25 — Dr. Grauer: The 1st Error : Too many clinicians in 2024 are still stuck in the outdated millimeter-based STEMI Paradigm”.
Dr. Smith's ECG Blog
APRIL 24, 2015
We found that 38% of out of hospital ventricular fibrillation was due to STEMI. Correlation of STEMI in Resuscitated Non-traumatic out-of-hospital Cardiopulmonary Arrest patients with Initial Rhythm and Cardiac Catheterization Findings (Abstract 580). Academic Emergency Medicine 17(s1):S194; May 2010 Reference : Scott NL.
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