article thumbnail

A Tough ECG, But Learn From It!

Dr. Smith's ECG Blog

Impact of delay to angioplasty in patients with acute coronary syndromes undergoing invasive management: analysis from the ACUITY (Acute Catheterization and Urgent Intervention Triage strategY) trial. For clarity in Figure-1 — I've labeled the initial ECG in this June 18, 2013 post. Amercan Journal of Cardiology 2010;106(8):1081-5.

STEMI 52
article thumbnail

Right precordial ST depression in a patient with chest pain

Dr. Smith's ECG Blog

New electrocardiographic criteria for posterior wall myocardial ischemia validated by percutaneous transluminal coronary angioplasty model of acute myocardial infarction. About half of patients receiving elective balloon angioplasty of the circumflex will show posterior STE ≥ 1mm. (8-12) Am J Cardiol 2001; 87:970-4; A4. O'Gara et al.

article thumbnail

Outpatient vascular care : Good, bad or ugly?

Dr. Anish Koka

Jeffery Dormu was a double board certified vascular surgeon who was paid $13 million dollars by Medicare alone between 2013 and 2017. Dr. Dormu performed a percutaneous transluminal balloon angioplasty, a mechanical atherectomy, a stenting of the left superficial femoral artery, a mechanical atherectomy of all three tibial vessels.

article thumbnail

Abstract 190: Patient Selection for Intracranial Stenting: Impact on Clinical Outcomes and Procedural Success Rates

Stroke: Vascular and Interventional Neurology

In the SAMMPRIS trial, patients who had experienced recent TIA/CVA secondary to 70‐99% ICAS demonstrated an increased risk of recurrent stroke when treated with angioplasty and stenting compared to medical therapy alone [1]. The role of intracranial stenting in ICAS remains uncertain. 1‐year rate of stroke and death in stented patients [5].

Stent 40
article thumbnail

How does Acute Total Left Main Coronary occlusion present on the ECG?

Dr. Smith's ECG Blog

7) The 2013 ACC/AHA STEMI guidelines consider this a “STEMI equivalent,” where thrombolytic therapy is not contraindicated (Evidence level B, no specific class of recommendation).(16) See this paper by Widimsky et al, which shows the high association of RBBB, especially with LAFB, with LAD occlusion. Widimsky P et al.