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Chest pain, resolved. Does it need emergent cath lab activation (some controversy here)? And much much more.

Dr. Smith's ECG Blog

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;139:430–436. Am J Cardiol.

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How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious?

Dr. Smith's ECG Blog

Hyperacute T Wave in the Early Diagnosis of Acute Myocardial Infarction. Interpretation of acute myocardial infarction with persistent “hyperacute T waves” by cardiac magnetic resonance. High T waves in the earliest stage of myocardial infarction. Prompt cath to define the anatomy should be expedited.

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The Evolution of Cardiovascular Magnetic Resonance: A 50-Year Journey

Cardiology Update

These advancements included identifying cardiac anatomy, measuring myocardial mass and chamber sizes, quantifying blood flow, and characterizing tissue properties using different relaxation times and gadolinium contrast. The third stage, beginning in 2010 and continuing today, emphasized the widespread clinical use of CMR.

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Outcomes of PCI of all comers: the experience of a Kuwaiti independent healthcare institution

The British Journal of Cardiology

Intra-procedural data included access route, coronary anatomy, lesion complexity, number of stents deployed, door-to-balloon time for primary PCI, and any intra-procedural complications. Pre-procedural data included patients’ baseline characteristics (age, gender, clinical presentation and comorbidities).

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Image Analysis Software for Cardiovascular Disease Assessment Gets 510(k) FDA Clearance

DAIC

tim.hodson Tue, 10/01/2024 - 10:50 PHOTO CAPTION: The Elucid PlaqueIQ user interface is a fully interactive visualization of the patient’s coronary anatomy, showing specific plaque type and amount across various views to inform physician assessment of risk and patient-specific treatment pathway.

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A young patient with diminishing pain with a subtle but diagnostic ECG.

Dr. Smith's ECG Blog

Although not striking, this is clearly a diagnostic ECG for infero"posterior" myocardial infarction due to coronary occlusion (OMI), most likely due to left circumflex (LCx) artery occlusion. mm STE even in the fourth universal definition of myocardial infarction. Considerations on the naming of myocardial infarctions.

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90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?

Dr. Smith's ECG Blog

The best course is to wait until the anatomy is defined by angio, then if proceeding to PCI, add Cangrelor (an IV P2Y12 inhibitor) I sent the ECG and clinical information of a 90-year old with chest pain to Dr. McLaren. Incidence of an acute coronary occlusion. Am J Med 2019, 132(5):622-630. Miranda DF, Lobo AS, Walsh B, et al.