2015 Exercise STEMI 
Dr. Smith's ECG Blog
MAY 19, 2022
Exercise test would also have been reasonable. His symptoms of chest pain and shortness of breath were attributed to an asthma exacerbation during exercise. Read about "exercise induced cardiac troponin elevations" here. Potential Adverse Cardiovascular Effects From Excessive Endurance Exercise Exercise Is Medicine?
EMS 12-Lead
MAY 20, 2022
Furthermore, she denies any hydration since conclusion of exercise. This worried the crew of potential acute coronary syndrome and STEMI was activated pre-hospital. As it currently stands, an ST/S ratio >15% should raise awareness for new anterior STEMI. Smith comment : V5 and V6 are excessively discordant!!!! Tower-Rader, A.
Dr. Smith's ECG Blog
APRIL 22, 2022
The HEART and EDACS scores are helpful to risk stratify patients with chest pain, but they hinge on accurate ECG interpretation: a low score doesn’t apply if the ECG shows STEMI(+)OMI, and shouldn’t be used for STEMI(-)OMI or OMI reperfusion either 2. Lancet 2015 6. Learn the signs of reperfusion: as Dr. Am J Med 2021 5.
Dr. Smith's ECG Blog
FEBRUARY 23, 2023
Learning Points: Ectopic atrial rhythm can produce atrial repolarization findings that can be confused for acute ischemia, STEMI, or OMI. To the left of these tracings is schematic illustration of the Emery Phenomenon ( adapted from the 2015 post by Dr. Bojana Uzelac on Armel Carmona’s ECG Rhythms website ).
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