Dr. Smith's ECG Blog

JULY 21, 2024

The ECG shows obvious STEMI(+) OMI due to probable proximal LAD occlusion. Distinction of PMVT vs VFib is an academic one in this case ). There was no evidence bradycardia leading up to the runs of PMVT ( as tends to occur with Torsades ). The below ECG was recorded. Both PMVT and VFib occurred multiple times.

Arrhythmia 131

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator 131

Dr. Smith's ECG Blog

MAY 30, 2023

Here is his ED ECG: There is bradycardia with a junctional escape. There is an obvious inferior posterior STEMI(+) OMI. We recorded an ECG in which V1-V3 were put in the position of V4R-V6R, and V4-6 were placed in V7-9 to (academically) confirm posterior OMI. He appeared gray in color, with cool skin. What to do?

Chest Pain 97

Chest Pain Myocardial Infarction STEMI Cardiogenic Shock 97

EMS 12-Lead

MARCH 19, 2023

It doesn’t meet any conventional STEMI criteria, but there is patently obvious increased area under the curve. 2] Exotic ECG findings – in this case, PR-interval shortening – make for excellent academic inquiry, but should never be a point of distraction from pathognomonic occlusive coronary disease. Is this OMI?

Myocardial Infarction 52

Myocardial Infarction STEMI Coronary Angiogram Coronary Artery Disease 52