Remove 2018 Remove Myocardial Infarction Remove Stent
article thumbnail

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.

article thumbnail

Is OMI an ECG Diagnosis?

Dr. Smith's ECG Blog

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.

STEMI 120
article thumbnail

Outcomes of PCI of all comers: the experience of a Kuwaiti independent healthcare institution

The British Journal of Cardiology

We present the cumulative percutaneous coronary intervention (PCI) data of all comers (stable angina and acute coronary syndromes [ACS]) who presented to Hadi Clinic between January 2018 and December 2020. A total of 567 patients underwent coronary catheterisation for the three-year period between January 2018 and December 2020.

article thumbnail

Chest pain and shock: Is there a right ventricular OMI on this ECG? And should he undergo trancutaneous pacing?

Dr. Smith's ECG Blog

Angiogram: Culprit Lesion (s): Thrombotic occlusion of the proximal RCA -- stented. Literature cited In inferior myocardial infarction, neither ST elevation in lead V1 nor ST depression in lead I are reliable findings for the diagnosis of right ventricular infarction Johanna E. The July 29, 2018 post ( LA-RA reversal ).

article thumbnail

Wide complex and apparent hyperacute T-waves. Does absence of change from previous ECG mean that it is not New?

Dr. Smith's ECG Blog

By Magnus Nossen, edits by Grauer and Smith The patient is a 70-something female with DMII, HTN and an extensive prior history of coronary artery disease and myocardial infarctions. At that visit the patient was found to have an in-stent RCA occlusion. She's had multiple PCI procedures. Troponin I peaked at 18.323ng/L.

article thumbnail

What do you think the echocardiogram shows in this case?

Dr. Smith's ECG Blog

Here is the ED ECG on arrival: Less STE/STD Provider's Clinical Impression: "findings concerning for myocardial infarction, likely proximal LAD or Left main." One would not expect wall motion to recover so quickly after stenting, so this is good evidence that the POCUS echo was indeed accurate. NTG drip started.

article thumbnail

If you had recorded an ECG during chest pain, what would it have shown?

Dr. Smith's ECG Blog

Characteristic electrocardiographic pattern indicating a critical stenosis high in left anterior descending coronary artery in patients admitted because of impending myocardial infarction. Electrocardiographic diagnosis of reperfusion during thrombolytic therapy in acute myocardial infarction. Am Heart J. Am Heart J.