2018 Electrocardiogram Stent 
Dr. Smith's ECG Blog
APRIL 18, 2024
Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. The patient was transferred to CCU to consider surgical options. Clin Cardiol 2022 4. Herman, Meyers, Smith et al.
Dr. Smith's ECG Blog
MAY 30, 2023
Angiogram: Culprit Lesion (s): Thrombotic occlusion of the proximal RCA -- stented. A 12-lead electrocardiogram, lead V4R , and leads V7-9 were recorded on admission. For review — GO TO: The June 4, 2018 post ( LA-LL reversal ). The July 29, 2018 post ( LA-RA reversal ). The February 11, 2020 post ( LA-RA reversal ).
Dr. Smith's ECG Blog
FEBRUARY 15, 2018
The patient was then taken to the cath lab an found to have a proximal RCA 100% thrombotic occlusion which was successfully stented. J Electrocardiology January–February, 2018; Volume 51, Issue 1, Pages e5–e6. Progression of V2 showing posterior involvement.
EMS 12-Lead
MAY 20, 2022
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. Cardiology felt her chest pain to be, most likely, the result of coronary supply-demand mismatch in the context of HCM endothelial remodeling (i.e.
Dr. Smith's ECG Blog
DECEMBER 15, 2023
The culprit lesion was opened and stented. Below is the post -PCI electrocardiogram. For more on this mirror-image opposite ST-T wave relation in leads III vs aVL — See My Comment in the March 8, 2019 and August 9, 2018 posts in Dr. Smith's ECG Blog ). Initial high sensitivity Troponin T was 810ng/L, later peaking at 2333ng/L.
Dr. Smith's ECG Blog
SEPTEMBER 30, 2019
You will note that it is essentially an unremarkable electrocardiogram except for some PACS. Slow TIMI 2 initially with brisk flow status post percutaneous coronary intervention with 18mm drug-eluting stent. This raised our concerns that the findings on his initial one were real. In the available view, the RCA appears fully occluded.
Dr. Smith's ECG Blog
MAY 8, 2023
So the patient was taken for emergent cath, showing: Culprit artery: LAD (100% stenosis, TIMI 0) requiring thrombectomy and stent. Queen of Hearts interpretation: Now the cardiologist considered it "STEMI"! 3 , 4 Q-waves defined the diagnosis of myocardial infarction before modern cardiac imaging was widely available.
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