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."

STEMI 52

STEMI Hospital Chest Pain Myocardial Infarction 52

Dr. Smith's ECG Blog

JUNE 27, 2024

First high sensitivity troponin I = 4 ng/L (nearly below the limit of detection) Angiogram: --Culprit is 99 % stenosis in the proximal ostial LAD --LCX is a large OM with a large lateral segment, the lateral segement has a diffuse 90% disease in the ostial proximal segment of it. This is FAR LESS than all other studies of shockable arrest.

Defibrillator 113

Defibrillator Cardiac Arrest STEMI Chest Pain 113

Dr. Smith's ECG Blog

APRIL 24, 2015

The estimated left ventricular ejection fraction is 58 % Aortic stenosis, mild, 9.0 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).

Cardiac Arrest 52

Cardiac Arrest Defibrillator Atrial Fibrillation Ischemia 52

Dr. Smith's ECG Blog

OCTOBER 6, 2018

He wrote in his note that "The EKG showed early repolarization in I, V2-V3 but no clear STEMI pattern." See far below for data on 24 troponin T in STEMI and NSTEMI, and correlation with infarct size. This difficulty results in high lateral OMI being the most commonly missed OMIs by the misguided STEMI criteria.

Chest Pain 40

Chest Pain STEMI Myocardial Infarction Coronary Artery Disease 40