Academic Outcomes STEMI 
Dr. Smith's ECG Blog
MAY 31, 2023
Cath lab declined as it is not a STEMI." And now this finding is even formally endorsed as a "STEMI equivalent" in the 2022 ACC guidelines!!! Another myocardial wall is sacrificed at the altar of the STEMI/NonSTEMI mindset. Opiates are associated with worse outcomes in Myocardial Infarction. Cath attending is aware.
Dr. Smith's ECG Blog
MARCH 14, 2024
Written by Jesse McLaren Three patients presented with acute chest pain and ECGs that were labeled by the computer as completely normal, and which was confirmed by the final cardiology interpretation (which is blinded to patient outcome) also as completely normal. What do you think?
Dr. Smith's ECG Blog
AUGUST 2, 2024
This was a machine read STEMI positive OMI. the investigators reviewed outcomes in 118 patients presenting with NSTEMI. The meaning of this quote is that at times, something as obvious as the dramatic anterior lead ST elevation that we see in today's tracing is not the result of an acute LAD STEMI. His ECG is shown below.
Dr. Smith's ECG Blog
SEPTEMBER 10, 2023
Post Cath ECG: Obviously completing MI with LVA morphology, and STE that meets STEMI criteria (but pt is still diagnosed as "NSTEMI"). Day 12 ECG: FINAL DIAGNOSIS: "NSTEMI" Despite the fact that his day 4 ECG easily meets STEMI criteria, the patient is diagnosed as NSTEMI. Long term outcome unknown but obviously bleak.
Dr. Smith's ECG Blog
MAY 30, 2023
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. I say academically because the STD in V2 is diagnostic -- posterior leads are NOT necessary. What is the atrial activity? What to do?
Dr. S. Venkatesan MD
SEPTEMBER 1, 2024
It is a sad academic story ,most of the interventional cardiology community shrugged it off as a non-event. No one knows how the pPCI related delay was legally ratified and academically accepted by the elite cardiology forums. best, It has a miniscule 1 % edge in the outcome if performed on time, at a expertise intensive place.
Dr. S. Venkatesan MD
MARCH 16, 2024
Still , even today it is weird to see hours of academic time is consumed in CTO Interventions in any interventional cardiology meets. Periprocedural and clinical outcomes of percutaneous coronary intervention of chronic total occlusions in patients with low- and mid-range ejection fractions. Surprise… surprise !, Life (Basel).
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