2022 Echocardiogram Stent 
Dr. Smith's ECG Blog
OCTOBER 30, 2023
A 60 yo with 2 previous inferior (RCA) STEMIs, stented, called 911 for one hour of chest pain. The first hs troponin I returned at 1100 ng/L Angiogram Lesion on 1st Obtuse Marginal : Proximal subsection = 90% stenosis Stented. He had no h/o heart failure. Pre procedure TIMI III flow was noted. Post Procedure TIMI III flow was present.
Dr. Smith's ECG Blog
OCTOBER 15, 2024
A prehospital “STEMI” activation was called on a 75 year old male ( Patient 1 ) with a history of hyperlipidemia and LAD and Cx OMI with stent placement. Additionally, a bedside echocardiogram showed no wall motion abnormality and normal LV function. It was stented. He wrote most of it and I (Smith) edited. This was a large OMI.
Dr. Smith's ECG Blog
SEPTEMBER 9, 2024
The patient was thought to have low likelihood of ACS, and cardiology recommended repeat troponin, urine drug testing, and echocardiogram. Bedside echocardiogram showed hypokinesis of the mid to distal anterior wall and apex. The operator documented thoughtful consideration of risks and benefits of stent placement.
Dr. Smith's ECG Blog
AUGUST 6, 2024
Elevated troponins prompted an echocardiogram — which revealed an apical wall motion abnormality (WMA). This led to immediate cath lab activation — which revealed total occlusion of a large 1st diagonal branch that was stented. == Below is the ECG of Patient #3 — recorded from a 35-year old man with sudden, new-onset CP.
Dr. Smith's ECG Blog
DECEMBER 18, 2022
Compare to the anatomy after stenting: The lower of the 2 now easily seen branches is the circumflex, now with excellent flow. Next day echocardiogram showed inferolateral hypokinesia with an EF of %45-50. 2022 Mar-Apr;71:44-46. Epub 2022 Jan 31. This is seen just millimeters beyond the tip of the catheter. Aslanger EK.
Dr. Smith's ECG Blog
FEBRUARY 4, 2022
They were stented. Formal Echocardiogram: The estimated left ventricular ejection fraction is 58 %. 2022 Jan;51:384-387. A DDENDUM ( 2/8/2022 ): Dr. Mario Parrinello , an esteemed cardiology colleague of ours from Cremona, Italy — wrote the following comment regarding today’s post on the EKG Club. Why not very very high?
Dr. Smith's ECG Blog
JULY 16, 2022
This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. Here is the post PCI EKG: And a few hours after that: The post PCI echocardiogram showed: Normal estimated left ventricular ejection fraction, 57%. He had been at a clinic that day where he had complained of worsening GERD.
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