2017 Bradycardia Myocardial Infarction 
Dr. Smith's ECG Blog
JULY 21, 2024
Troponin T peaked at 38,398 ng/L ( = a very large myocardial infarction, but not massive-- thanks to the pre-PCI spontaneous reperfusion, and rapid internvention!! ). Some residual ischemia in the infarct border might still be present. Over the next couple of days the patient was weaned off of mechanical circulatory support.
EMS 12-Lead
JUNE 1, 2022
Detailed Considerations LBBB and Myocardial Infarction In the emergent setting it’s important to assess LBBB through the lens of the Smith-modified Sgarbossa criteria, especially in a context that is clinically consistent with Acute Coronary Syndrome. He received a permanent pacemaker during the subsequent inpatient stay. 4] Dodd, K.
Dr. Smith's ECG Blog
JANUARY 21, 2023
This ECG shows a sinus bradycardia with a normal conduction pattern (normal PR, normal QRS, and normal QTc), normal axis, normal R-wave progression, normal voltages. Clinical questions : Is this an occlusion myocardial infarction and does the patient need the cath lab? CMAJ 2017 Vassallo SU, Delaney KA, Hoffman RS, et al.
Dr. Smith's ECG Blog
NOVEMBER 3, 2017
Electrocardiographic Differentiation of Early Repolarization FromSubtle Anterior ST-Segment Elevation Myocardial Infarction. J Electrocardiology 50(5):561-569; September/October 2017. Patient presentation is important This was a 60-something with acute chest pain: There is sinus bradycardia at a rate of 44.
Dr. Smith's ECG Blog
APRIL 8, 2015
PVCs N ot generally considered abnormal ECG findings: Isolated PAC, First Degree AV Block, Sinus bradycardia at a rate of 35-45, and Nonspecific ST-T abnormalities (even if different from a previous ECG). Thus, if there is documented sinus bradycardia, and no suspicion of high grade AV block, at the time of the syncope, this is very useful.
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