Dr. Smith's ECG Blog

MAY 20, 2024

The cardiologist recognized that there were EKG changes, but did not take the patient for emergent catheterization because the EKG was “not meeting criteria for STEMI”. Annals of Emergency Medicine 2011; Suppl 58(4): S211. Most STEMI have peak troponin I over 1000 ng/L and most NSTEMI below that level. Murakami MM.

Chest Pain 127

Chest Pain Blood Pressure Ischemia STEMI 127

EMS 12-Lead

APRIL 8, 2022

BP 142/100 HR 90 RR 16 (BBS CTA) SpO2 99 (RA) Dstick 110 My colleagues noted the ST-depression in the respective leads, as well, and STEMI activated to the nearest PCI center. 1] Here is the admitting ED ECG after cancellation of Code STEMI. Cardiology admitted him for observation with plans for next-day coronary angiogram.

Myocardial Infarction 52

Myocardial Infarction Coronary Angiogram STEMI Ischemia 52

Dr. S. Venkatesan MD

JUNE 26, 2024

If absolutely asymptomatic, and the stress test is negative, leaving it, as it is, is not a forbidden option, in spite of the fact, that the patient would have a single coronary arterial supply. 2011 Dec, 4 (12) 1320–1323 Acquired mimickers of left main atresia 1. We know, how adverse is the outcome of Left main STEMI.

Coronary Angiogram 52

Coronary Angiogram Cardiothoracic Anatomy Atherosclerosis 52

Dr. Smith's ECG Blog

NOVEMBER 19, 2016

Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. The diagnostic coronary angiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aortic valve. Look at the aortic outflow tract.

Ischemia 52

Ischemia Cardiogenic Shock Aortic Stenosis 52