Dr. Smith's ECG Blog

MARCH 10, 2025

If we took this as the gold standard, we would conclude that the computer interpretation was safe and accurate at least accurate enough to not miss STEMI, and that physicians should not be interrupted to interpret it, because there would be no change in patient management. The latest is Langlois-Carbonneau et al.

Chest Pain 89

Chest Pain Outcomes STEMI Electrocardiogram 89

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP317-AWP317, February 1, 2025. Introduction:Atrial fibrillation (AF), which can be easily identified through electrocardiogram (ECG), is a well-established predictor of ischemic stroke (IS) in comparison to other stroke subtypes. Analyses were conducted using R version 4.3.1.Results:In

Strokes 40

Strokes Stroke Bicuspid/Mitral STEMI 40

Dr. Smith's ECG Blog

MARCH 23, 2025

Here is the PMcardio Queen of Hearts interpretation of the ECG: STEMI equivalent detected. Inferior and posterior OMI without STEMI criteria. About an hour later another ECG was obtained: Barely meets STEMI criteria in inferior leads, but obvious inferior and posterior OMI. The cath lab was now activated for STEMI.

STEMI 82

STEMI Chest Pain Myocardial Infarction Article 82

Dr. Smith's ECG Blog

FEBRUARY 12, 2025

Even before we have clinical context, this ECG simply does not appear concerning for OMI, notwithstanding the machine's interpretation ** ** ACUTE MI / STEMI ** **. But in the world of STEMI, this is a challenging ECG to most. Artificial intelligence (AI) algorithms show promise to improve electrocardiogram (ECG) interpretation.

Chest Pain 82

Chest Pain STEMI Electrocardiogram Blog 82

Dr. Smith's ECG Blog

JANUARY 31, 2025

The de Winter electrocardiogram pattern is an infrequent presentation, reported to occur in 2% to 3.4% This ECG pattern is my favorite example of how the STEMI criteria are fundamentally flawed. We have a series of 20 TIMI-0 LAD Occlusions that do meet STEMI criteria. of patients with anterior myocardial infarction ( 1 ).

STEMI 114

STEMI Chest Pain Myocardial Infarction Ischemia 114

Dr. Smith's ECG Blog

FEBRUARY 10, 2025

Peaked T waves: Hyperacute (STEMI) vs. Early Repolarizaton vs. Hyperkalemia Recognize subtle findings of hyperK and, if present, treat with Calcium immediately! Severe hyperkalemia: can the electrocardiogram risk stratify for short-term adverse events. HyperKalemia with Cardiac Arrest. References 1. Lindner et al. Durfey et al.

Bradycardia 118

Bradycardia Cardiac Arrest Hypertension ICU 118