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.
Dr. Smith's ECG Blog
AUGUST 26, 2009
He called 911 and paramedics recorded a prehospital 12 lead ECG which showed a clear inferior STEMI (not shown, tracing could not be found). Research presented at 2011 SAEM in Boston. Objectives : To find the incidence of any rSTD or T-wave inversion (TWI) in angiographically proven inferior STEMI.
Dr. Smith's ECG Blog
JULY 14, 2023
Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. Finally, head-up CPR (which was not used here), makes for better resuscitation.
Dr. S. Venkatesan MD
JUNE 26, 2024
2011 Dec, 4 (12) 1320–1323 Acquired mimickers of left main atresia 1. We know, how adverse is the outcome of Left main STEMI. 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. Syphilis 2.
Dr. Smith's ECG Blog
APRIL 15, 2019
A prehospital ECG was recorded (not shown and not seen by me) which was worrisome for STEMI. A previous ECG from 4 years prior was normal: This looks like an anterior STEMI, but it is complicated by tachycardia (which can greatly elevate ST segments) and by the presentation which is of fever and sepsis.
Ken Grauer, MD
JULY 22, 2023
KEY Point: In areas of the heart where an acute STEMI produces ST elevation — reperfusion T waves ( that develop after the "culprit" artery reopens ) will appear as T wave inversion. In 2011 — Niu et al described the presence of an "N-Wave" — or delayed activation wave of the left ventricular basal region. What is an " N -Wave" ?
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. 2 The astute paramedic recognized this possibility and announced a CODE STEMI. Heart 2011; 97 : 838-843 [link] 14. Look at the aortic outflow tract. What do you see? J Am Coll Cardiol.
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