Heart BMJ

JANUARY 29, 2024

Objectives To ascertain whether invasive assessment of coronary physiology soon after recanalisation of the culprit artery by primary percutaneous coronary intervention is associated with the development of microvascular obstruction by cardiac magnetic resonance in patients with ST-segment elevation myocardial infarction (STEMI).

Myocardial Infarction 40

Myocardial Infarction Physiology STEMI 40

Dr. S. Venkatesan MD

DECEMBER 2, 2023

This has important clinical significance , as many successfully lysed STEMI patient might have minimal segments of dissection/deep plaque fissures. , Spontaneous coronary dissection vs Iatrogenic dissection SCAD is a rare , different entity , enjoys a popular space in the patho-physiology of CAD. Is plaque fissure painful ?

SCAD 52

SCAD Plaque Angina STEMI 52

Ken Grauer, MD

APRIL 18, 2023

In contrast — it is EASY to overlook L A- L L reversal — because the ECG picture seen with this type of lead reversal does not immediately stand out as physiologically “off”. P utting I t A ll T ogether : After correcting for LA-LL lead reversal — ECG # 1a shows sinus rhythm — LVH — and an acute infero-postero STEMI with acute RV involvement.

Blog 78

Blog STEMI Chest Pain Physiology 78

Circulation

NOVEMBER 11, 2024

Frailty is a syndrome of physiological decline, characterized by marked vulnerability to adverse health outcomes. Frailty and CVD are often interrelated, affecting disease and treatment outcomes. Frailty is prevalent in adults with IHD requiring PCI.

Heart Disease 40

Heart Disease Hospital Inpatient Outcomes 40

Dr. Smith's ECG Blog

JANUARY 6, 2024

Here, I do not see OMI (although the ECG is falsely STEMI positive with just over 1 mm STE in V1 and about 2.5 The atrial rate is around 120 beats per minute, which indicates high adrenergic state and physiologic distress! The February 11, 2020 post ( LA-RA reversal ). The March 18, 2020 post ( LA-RA reversal ).

Blog 111

Blog Ischemia Tachycardia STEMI 111

Dr. Smith's ECG Blog

JULY 12, 2020

This paper by Bischof and Smith compared inferior MI to pericarditis and found that of 154 patients with inferior STEMI, 17% of whom had less than 1 mm of STE in any inferior lead, all 154 had at least 0.25 Maybe an increase in pericardial fluid could have been observed and helped to prevent her acute decompensation one week later.

Pericarditis 40

Pericarditis Hospital Ultrasound Blood Pressure 40

Dr. Smith's ECG Blog

JULY 19, 2024

It was read by the treating physician and the overreading cardiologist as "Paced, no STEMI." As the troponin T was 1521 ng/L (peak troponin T over 1000 ng/L is typical of STEMI) and still rising, no further troponins were measured. How does the Queen of Hearts do? For clarity in Figure-1 — I’ve labeled the initial ECG in today’s case.

Chest Pain 115

Chest Pain Myocardial Infarction Pacemaker STEMI 115