2025, Myocardial Infarction and STEMI

Driving Restrictions and Incapacitation Vulnerability Evaluation After ST-Segment–Elevation Myocardial Infarction: DRIVE-STEMI Study

Circulation

JANUARY 20, 2025

Circulation, Volume 151, Issue 3 , Page 282-284, January 21, 2025.

Myocardial Infarction

Myocardial Infarction STEMI Circulation

FDA Approves Clot-Dissolving Agent for Acute Ischemic Stroke in Adults

DAIC

MARCH 4, 2025

tim.hodson Tue, 03/04/2025 - 10:17 March 3, 2025 Genentech, a member of the Roche Group, recently announced that the U.S. TNKase is also FDA-approved for the treatment of acute ST-elevation myocardial infarction (STEMI) in adults. For more information, go to [link].

Strokes

Strokes Stroke Myocardial Infarction STEMI

Clinical Characteristics and Outcomes Stratified by Time to ST-Segment Elevation Myocardial Infarction Presentation: Late Presentation in Patients with STEMI

The American Journal of Cardiology

APRIL 1, 2025

Publication date: Available online 1 April 2025 Source: The American Journal of Cardiology Author(s): Yosuke Kakimoto, Ko Yamamoto, Masahiro Natsuaki, Goro Yoshioka, Yuhei Goriki, Kohei Kamishita, Kensuke Yokoi, Atsushi Kawaguchi, Mitsuhiro Shimomura, Keiki Yoshida, Shinjo Sonoda, Koichi Node, SAGA-ACS registry investigators

Myocardial Infarction

Myocardial Infarction STEMI Outcomes

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

MORE WEBINARS

Abstract WP317: Variations in the association between ECG Abnormalities and Stroke Subtypes: Findings from the INTERSTROKE Case-Control Study

Stroke Journal

JANUARY 30, 2025

Stroke, Volume 56, Issue Suppl_1 , Page AWP317-AWP317, February 1, 2025. The ECG abnormalities investigated included AF, recent ST-elevation myocardial infarction (STEMI), left ventricular hypertrophy (LVH), right ventricular hypertrophy (RVH), P-pulmonale, and P-mitrale. Analyses were conducted using R version 4.3.1.Results:In

Strokes

Strokes Stroke Bicuspid/Mitral STEMI

When ACS care is very delayed, "STEMI metrics" can be perfect. And how specific is Queen of Hearts?

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

STEMI Chest Pain Myocardial Infarction Article

ACUTE MI/STEMI : Activate the cath lab if the patient has chest pain?

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. There were 80 positives by STEMI criteria, 88 by device algorithm, and 77 by AI software.

Chest Pain

Chest Pain STEMI Electrocardiogram Blog

What happens when you give morphine for chest pain in ACS? And what is pseudo-normalization of T-waves?

Dr. Smith's ECG Blog

MARCH 14, 2025

He has a history of coronary artery disease and a STEMI two years prior that was treated with primary PCI. At the time of this initial ED ECG, his symptoms were improving ECG #1 on admission to the ED The patient was not seen quickly in the ED as it was a busy shift and the ECG did not meet STEMI criteria. The below ECG was recorded.

Chest Pain

Chest Pain Myocardial Infarction STEMI Ischemia

Abdominal Pain in a middle-aged patient

Dr. Smith's ECG Blog

JANUARY 18, 2025

Im changed. == MY Comment , by K EN G RAUER, MD ( 1/16 /2025 ): == It's not often that we see a clinical entity for which it seems that the patient "read the textbook" before the ECG was recorded. He wrote: OMI it was. Large diagonal. Now opened. Dr. Smithyoull change MI care, if you havent already.

Myocardial Infarction

Myocardial Infarction STEMI Chest Pain Download

Another MUST know ECG, and why its notoriety annoys Dr. Smith

Dr. Smith's ECG Blog

JANUARY 31, 2025

of patients with anterior myocardial infarction ( 1 ). 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. Tall precordial T waves with depressed ST take-off: an early sign of acute myocardial infarction?

STEMI

STEMI Chest Pain Myocardial Infarction Ischemia

Normal ACS care, everything by the book! But normal ACS care could be much better. This post explains everything.

Dr. Smith's ECG Blog

MARCH 17, 2025

Limitations of registry data: This patient presented with STEMI (-) OMI and developed STEMI the following day. But the time that elapsed from first STEMI (+) ECG to balloon was 57 minutes, and THIS is what will be recorded for reporting to the National Cardiovascular Data Registry for purposes of quality improvement.

STEMI

STEMI Chest Pain Myocardial Infarction Document

Is it possible that this patient with acute chest pain and this ECG does not need emergent intervention?

Dr. Smith's ECG Blog

MARCH 19, 2025

STEMI criteria are only 43% sensitive for OMI. Prevalence and outcome of patients with non-ST segment elevation myocardial infarction with occluded culprit artery - a systemic review and meta-analysis. Beware confusing the diagnosis of posterior STEMI by using posterior leads. Hung C-S, Chen Y-H, Huang C-C, et al.

Chest Pain

Chest Pain STEMI Stent Stents

Acute chest pain with LBBB and obvious OMI, worsening on serial ECGs, but repeatedly missed by physicians and Marquette 12SL

Dr. Smith's ECG Blog

JANUARY 23, 2025

He has never been poisoned by the STEMI/NSTEMI paradigm because he has never been to medical school. Case A 76 year old man with chronic hypertension but no history of coronary disease or myocardial infarction presented to the ED with chest pain at 2343. The Queen of Hearts recognizes this as OMI ("STEMI/STEMI Equivalent").

Chest Pain

Chest Pain Ischemia STEMI Blog

Pay now (in the evening) or pay later with interest (in the middle of the night).

Dr. Smith's ECG Blog

MARCH 1, 2025

Note: the 2022 ACC Expert consensus Chest pain guidelines state that "posterior STEMI-Equivalent" is a sign of acute coronary occlusion. 2/3 of STEMI have a peak 4th generation troponin I greater than 10.0 Comment: The first ECG is diagnostic of OMI that does not meet STEMI criteria. NSTEMI-OMI").

Chest Pain

Chest Pain STEMI Stent Stents

Chest pain followed by 6 days of increasing dyspnea -- what happened?

Dr. Smith's ECG Blog

FEBRUARY 26, 2025

Smith: T waves are very hyperacute: these are a sign of ACUTE infarction, even if there are Q-waves. 50% of LAD STEMI have Q-waves by one hour. Smith : In limb leads, the ST vector is towards lead II (STE lead II STE lead III, which is more likely with pericarditis than with STEMI). See Raitt et al.:

Chest Pain

Chest Pain Pericarditis Myocardial Infarction Dementia

What is Wellens' syndrome? And what conditions mimic it?

Dr. Smith's ECG Blog

APRIL 2, 2025

A comparison of electrocardiographic changes during reperfusion of acute myocardial infarction by thrombolysis or percutaneous transluminal coronary angioplasty. Electrocardiographic diagnosis of reperfusion during thrombolytic therapy in acute myocardial infarction. Am Heart J 2000;139(3):4306. A stent was placed.

Chest Pain

Chest Pain STEMI Myocardial Infarction Stent

Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?

Dr. Smith's ECG Blog

MARCH 8, 2025

The authors describe a case with some features in common with our patient -- a stressful event followed by a stress cardiomyopathy/acute myocardial infarction overlap syndrome. Acute myocardial infarction: an uncommon complication of takotsubo cardiomyopathy. Acute myocardial infarction triggered by emotional stress.

Cardiomyopathy

Cardiomyopathy Myocardial Infarction Defibrillator Bradycardia

Acute Dyspnea in a Dialysis Patient. K is 6.3 mEq/L. Are ECG findings due to hyperkalemia, or even due to Type 2 MI?

Dr. Smith's ECG Blog

JANUARY 21, 2025

It is correct that he did not have chest pain, but we must remember that fully 1/3 of full blown STEMI do not present with chest pain. They made a final diagnosis of type II myocardial infarction. This is extremely elevated for a type 2 MI and totally consistent with STEMI. The EKG shows inferior OMI.

Chest Pain

Chest Pain STEMI Tachycardia Myocardial Infarction

Cardiovascular Update

Driving Restrictions and Incapacitation Vulnerability Evaluation After ST-Segment–Elevation Myocardial Infarction: DRIVE-STEMI Study

FDA Approves Clot-Dissolving Agent for Acute Ischemic Stroke in Adults

Clinical Characteristics and Outcomes Stratified by Time to ST-Segment Elevation Myocardial Infarction Presentation: Late Presentation in Patients with STEMI

Webinars

Abstract WP317: Variations in the association between ECG Abnormalities and Stroke Subtypes: Findings from the INTERSTROKE Case-Control Study

When ACS care is very delayed, "STEMI metrics" can be perfect. And how specific is Queen of Hearts?

ACUTE MI/STEMI : Activate the cath lab if the patient has chest pain?

What happens when you give morphine for chest pain in ACS? And what is pseudo-normalization of T-waves?

Abdominal Pain in a middle-aged patient

Another MUST know ECG, and why its notoriety annoys Dr. Smith

Normal ACS care, everything by the book! But normal ACS care could be much better. This post explains everything.

Is it possible that this patient with acute chest pain and this ECG does not need emergent intervention?

Acute chest pain with LBBB and obvious OMI, worsening on serial ECGs, but repeatedly missed by physicians and Marquette 12SL

Pay now (in the evening) or pay later with interest (in the middle of the night).

Chest pain followed by 6 days of increasing dyspnea -- what happened?

What is Wellens' syndrome? And what conditions mimic it?

Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?

Acute Dyspnea in a Dialysis Patient. K is 6.3 mEq/L. Are ECG findings due to hyperkalemia, or even due to Type 2 MI?

Stay Connected

Driving Restrictions and Incapacitation Vulnerability Evaluation After ST-Segment–Elevation Myocardial Infarction: DRIVE-STEMI Study

FDA Approves Clot-Dissolving Agent for Acute Ischemic Stroke in Adults

Clinical Characteristics and Outcomes Stratified by Time to ST-Segment Elevation Myocardial Infarction Presentation: Late Presentation in Patients with STEMI

Webinars

Abstract WP317: Variations in the association between ECG Abnormalities and Stroke Subtypes: Findings from the INTERSTROKE Case-Control Study

When ACS care is very delayed, "STEMI metrics" can be perfect. And how specific is Queen of Hearts?

** **ACUTE MI/STEMI** **: Activate the cath lab if the patient has chest pain?

What happens when you give morphine for chest pain in ACS? And what is pseudo-normalization of T-waves?

Abdominal Pain in a middle-aged patient

Another MUST know ECG, and why its notoriety annoys Dr. Smith

Normal ACS care, everything by the book! But normal ACS care could be much better. This post explains everything.

Is it possible that this patient with acute chest pain and this ECG does not need emergent intervention?

Acute chest pain with LBBB and obvious OMI, worsening on serial ECGs, but repeatedly missed by physicians and Marquette 12SL

Pay now (in the evening) or pay later with interest (in the middle of the night).

Chest pain followed by 6 days of increasing dyspnea -- what happened?

What is Wellens' syndrome? And what conditions mimic it?

Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?

Acute Dyspnea in a Dialysis Patient. K is 6.3 mEq/L. Are ECG findings due to hyperkalemia, or even due to Type 2 MI?

Stay Connected

ACUTE MI/STEMI : Activate the cath lab if the patient has chest pain?