AFIB Blog STEMI 
Ken Grauer, MD
APRIL 26, 2024
This defines the rhythm as AFib ( A trial F ibrillation ) , here with a controlled ventricular response ( ie, overall heart rate between ~70-to-100/minute ). IMPRESSION: In this patient who presents with severe, new-onset CP — today's ECG is diagnostic of an extensive, ongoing antero-lateral STEMI. Smith's ECG Blog ). =
Ken Grauer, MD
FEBRUARY 18, 2023
These findings suggest that instead of VT — the rhythm in Figure-1 is AFib with a fairly rapid ventricular response. Since the rhythm is supraventricular (ie, AFib ) — we can accurately assess QRS morphology. Given a lack of prior history — I don’t know if the AFib on ECG #1 is ( or is not ) a new finding.
Ken Grauer, MD
JULY 22, 2023
I see the following: Although there is no long lead rhythm strip — we can see that the rhythm is AFib with a controlled ventricular response ( ie, irregularly irregular rhythm without P waves — and with a heart rate between ~70-110/minute ). Regarding Intervals: There is no PR interval ( since the rhythm is AFib ).
Ken Grauer, MD
MAY 26, 2023
ECG Blog #185 — Review of the P s, Q s, 3 R Approach for systematic rhythm interpretation. ECG Blog #271 — Reviews the concept of diffuse Subendocardial Ischemia. ECG Blog #316 — The patient died. ECG Blog #184 — That magical inverse relationship between leads III and aVL. ECG Blog #183 — deWinter-like T waves.
ECG Cases
OCTOBER 17, 2023
In this ECG Cases blog Dr. Jesse McLaren guides us through 10 cases, driving home the points that sepsis is a common cause of rapid Afib and diffuse ST depression with reciprocal ST elevation in aVR, myo/pericarditis is a diagnosis of exclusion, endocarditis or lyme carditis can cause AV block, PE can cause low grade fever and ECG signs of acute RV (..)
Dr. Smith's ECG Blog
JULY 14, 2024
Another missed OMI by the False STEMI-NonSTEMI Dichotomy Don't miss them!!! We are not told IF this AFib is new ( as a result of the acute LAD OMI ) — or, if this AFib is this patient's longstanding rhythm ( nor are we told if the patient is on anticoagulation or is taking rate-slowing medication ).
Dr. Smith's ECG Blog
SEPTEMBER 24, 2023
This is written by Magnus Nossen, with some edits by Smith This ECG diagnosis will be obvious to the majority of the readers of this blog. Notice that much of the dark blue is concentrated on the QRS (R-wave); the QRS is totally ignored in the STEMI paradigm!! It is not obvious for the majority of doctors or even cardiologists.
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