Ken Grauer, MD
JUNE 22, 2024
That said — the ECG in Figure-1 should prompt the following considerations: The symmetric chest lead T wave inversion in ECG #1 could be a sign of coronary disease, potentially with acute ischemia. ECG Blog #209 — Reviews the ECG diagnosis of Wellens’ Syndrome ( What it is — and what it is not! ).
Dr. Smith's ECG Blog
JANUARY 2, 2016
There may be ischemia present, but it is not evident on the ECG. Journal of Electrocardiology 47 (2014) 655–660. This patient with LVH had chest pain ( Figure 7 ) LVH with ST-T abnormalities with superimposed ischemia. LVH and the diagnosis of STEMI - how should we apply the current guidelines?
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
DISCUSSION: The 12-lead EKG EMS initially obtained for this patient showed severe ischemia, with profound "infero-lateral" ST depression and reciprocal ST elevation in lead aVR. The ECG cannot diagnose the etiology of ischemia; it only the presence of ischemia, from whatever etiology.
Dr. Smith's ECG Blog
APRIL 18, 2024
5] Back to the case The patient had serial ECGs over the next hour with no significant change: The first troponin came back at 1,400 ng/L (normal <26 in males and <16 in females), confirming MI – and the patient’s refractory ischemia indicated this was an Occlusion MI. Circulation 2014 2. link] References 1. Amsterdam et al.
Dr. Smith's ECG Blog
DECEMBER 7, 2023
This proves effective treatment of the recurrent ischemia. The patient had no further symptoms of ischemia. EKG 3 is diagnostic for developing re-occlusion, and EKG 4 proves that the nitrates relieved the ischemia. = This proves effective treatment of the recurrent ischemia." Buller, C. Starovoytov, A., Robinson, S.,
Dr. Smith's ECG Blog
NOVEMBER 4, 2022
His response: “subendocardial ischemia. Smith : It should be noted that, in subendocardial ischemia, in contrast to OMI, absence of wall motion abnormality is common. With the history of Afib, CTA abdomen was ordered to r/o mesenteric ischemia vs ischemic colitis vs small bowel obstruction. Anything more on history?
Ken Grauer, MD
OCTOBER 13, 2023
As a result — IF no "fixable" cause is found ( ie, ischemia/infarction — electrolyte disturbance — rate-slowing medication ) — then because of the AV block and very slow heart rate, this patient will probably need a pacemaker. There are also twice as many P waves as QRS complexes — so at the least, there is 2nd-degree AV block.
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