2017 Electrocardiogram Ischemia 
Dr. Smith's ECG Blog
OCTOBER 18, 2023
4,5] We have now formally studied this question: Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review.[6] Other signs of OMI that complement the ECG include new regional wall motion abnormalities and refractory ischemia References 1.
Dr. Smith's ECG Blog
JANUARY 1, 2024
An initial electrocardiogram (ECG) is provided below. Learning Point: Concordant ST segment elevation can arise from profound ischemia triggered by ventricular tachycardia (VT), or it may represent an exaggerated basal ST change accompanying tachycardia. The patient was promptly admitted to the hospital for further evaluation.
EMS 12-Lead
MAY 20, 2022
There is broad subendocardial ischemia as demonstrated by STE aVR with concomitant STD that almost appears appropriately maximal in Leads II and V5. There is LBBB-like morphology with persistent patterns of subendocardial ischemia. This is the initial ECG: The QRS is widened with a regular cadence, and there are no discernable P waves.
Dr. Smith's ECG Blog
JULY 22, 2023
For now, the 2017 AHA/ACC/HRS guidelines for asymptomatic patients that have inducible types of Brugada syndrome recommend observation without any specific therapies or interventions [8]. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. Heart Rhythm, 13(7): 1515-1520. [2]:
Dr. Smith's ECG Blog
JANUARY 30, 2019
For now, the 2017 AHA/ACC/HRS guidelines for asymptomatic patients that have inducible types of Brugada syndrome recommend observation without any specific therapies or interventions [8]. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. Heart Rhythm, 13(7): 1515-1520. [2]:
Dr. Smith's ECG Blog
FEBRUARY 5, 2019
BMJ 2017;359:j4788 doi: 10.1136/bmj.j4788 (Published 2017 November 07) Full text link: [link] Abstract Objective To evaluate how selection of patients for high sensitivity cardiac troponin testing affects the diagnosis of myocardial infarction across different healthcare settings. Sandoval Y et al. to 20.3%) in the US.
Dr. Smith's ECG Blog
DECEMBER 27, 2018
A Deep Neural Network learning algorithm outperforms a conventional algorithm for emergency department electrocardiogram interpretation. JACC 69(23):1694-1703; April 4, 2017. I do research on Cardiologs' algorithm: Smith SW et al. Cardiologs founder, Yann Flereau, was named by MIT as the European Innovator of the Year. What an honor.
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