Academic STEMI Thrombolysis 
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. In this context, we need a movement to revive the pre-hospital thrombolysis. No one knows how the pPCI related delay was legally ratified and academically accepted by the elite cardiology forums. NRMI data Ref 2) 2.There
Dr. S. Venkatesan MD
APRIL 13, 2024
They argue for either immediate intervention or defer transiently, postpone or just ignore , based on clinical ,hemodynamic * , Individual, institutional , or some other non academic factors. After all, globally 90% of all successful myocardial reperfusion is done by the humble streptokinase or the more glamorous TNK -TPA.
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.
Dr. Smith's ECG Blog
APRIL 9, 2025
The paramedics diagnosis was "Possible Anterolateral STEMI." More proof that a huge STEMI may have normal or near normal initial troponin. compared with trials before and after thrombolysis (2% to 19%) and with the 104 patients in this study who did not receive prophylactic lidocaine (10%). Mortality rates were 10.5%
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