Dr. Smith's ECG Blog

OCTOBER 28, 2013

It was stented. Updates on the Electrocardiogram in Acute Coronary Syndromes. Current Emergency and Hospital Medicine Reports (2013) 1:4352. Electrocardiogram patterns in acute left main coronary artery occlusion. Here is the post cath ECG T-wave inversions consistent with anterior MI, but not diagnostic. References : 1.

Cardiac Arrest 52

Cardiac Arrest Ischemia Defibrillator Electrocardiogram 52

Dr. Smith's ECG Blog

MAY 23, 2023

LAD and D1 were stented, but flow unfortunately could not be well restored despite efforts (they list the post intervention TIMI flow still as 0). Serial tracings following stent placement confirmed the large extent of myocardial injury. LCX and RCA were described as "normal" in the cath report. Am J Emerg Med. 2022 Jan;51:384-387.

Chest Pain 98

Chest Pain STEMI Blog Stent 98

Dr. Smith's ECG Blog

AUGUST 9, 2019

At the bottom of the post, I have re-printed the section on aVR in my article on the ECG in ACS from the Canadian Journal of Cardiology: New Insights Into the Use of the 12-Lead Electrocardiogram for Diagnosing Acute Myocardial Infarction in the Emergency Department Case 1. Updates on the Electrocardiogram in Acute Coronary Syndromes.

Myocardial Infarction 52

Myocardial Infarction Ischemia STEMI Cardiogenic Shock 52

Dr. Smith's ECG Blog

MAY 8, 2023

So the patient was taken for emergent cath, showing: Culprit artery: LAD (100% stenosis, TIMI 0) requiring thrombectomy and stent. Queen of Hearts interpretation: Now the cardiologist considered it "STEMI"! 3 , 4 Q-waves defined the diagnosis of myocardial infarction before modern cardiac imaging was widely available.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Pacemaker 52