Remove 2015 Remove Myocardial Infarction Remove Stents
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Texted from a former EM resident: 70 yo with syncope and hypotension, but no chest pain. Make their eyes roll!

Dr. Smith's ECG Blog

Electrocardiographic Criteria to Differentiate Acute Anterior ST Elevation Myocardial Infarction from Left Ventricular Aneurysm. The American Journal of Emergency Medicine 2015; 33(6):786-790. Former resident: "Just saw cath report, LAD stent was 100% acutely occluded." They of course opened and stented it.

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Acute OMI or "Benign" Early Repolarization?

Dr. Smith's ECG Blog

Just before 10 AM, the patient received a stent to the culprit OM. Comparative early and late outcomes after primary percutaneous coronary intervention in st-segment elevation and Non–St-segment elevation acute myocardial infarction (from the Cadillac trial). Peak troponin was 12 ng/mL. & Griffin, J. link] Lee, T.

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Target Acquired

EMS 12-Lead

He reported a history of ischemic cardiomyopathy with coronary stent placement approximately 10 years prior, but could not recall the specific artery involved. A 99% LAD occlusion was stented. Terminal QRS distortion is present in anterior myocardial infarction but absent in early repolarization. 3] Smith, S.

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Hypertrophic Cardiomyopathy

EMS 12-Lead

A mid-LAD culprit lesion was identified and stented. New insights into the use of the 12-lead electrocardiogram for diagnosing acute myocardial infarction in the emergency department. Type II MI), however decided to pursue coronary angiogram out of an abundance of caution. References Naidu, S. American College of Cardiology.

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A 50-something with 5 hours of typical chest pain and Left Bundle Branch Block

Dr. Smith's ECG Blog

It was opened and stented. Comparison of the QRS Complex, ST-Segment, and T-Wave Among Patients with Left Bundle Branch Block with and without Acute Myocardial Infarction. 21, 2015 post by Dr. Smith ). Shortly thereafter, the first troponin I returned at 0.689 ng/mL (URL = 0.034), all but diagnostic of acute MI.

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A 60-something Woman with Chest Pain and a Wide QRS

Dr. Smith's ECG Blog

Dr. Smith illustrates how to measure these parameters with magnified views in his December 21, 2015 post. There was 100% occlusion of the RCA, which was stented. Comparison of the QRS Complex, ST-Segment, and T-Wave Among Patients with Left Bundle Branch Block with and without Acute Myocardial Infarction.

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Improved Clinical Outcomes with Intravascular Imaging-Guided PCI: Impact of Standardized Optimization Protocols

Cardiology Update

Intravascular imaging (IVI), such as intravascular ultrasound (IVUS) and optical coherence tomography (OCT), play a crucial role in assessing lesion characteristics and optimizing stent placement during percutaneous coronary intervention (PCI). Patients were divided into two groups based on IVI usage. vs 6.7%; HR: 0.77; 95% CI: 0.61-0.97;