article thumbnail

LVH with anterior ST Elevation. When is it anterior STEMI?

Dr. Smith's ECG Blog

Is LVH like left ventricular aneurysm? However, an analogous rule for identifying superimposed ACO of the LAD in the presence of persistent STE after prior MI (aka “ left ventricular aneurysm ,” or LVA) was just validated. The repolarization behavior of LV A is likely distinct from that of LV H. Am J Cardiol. 2012;110(7):977-983.

STEMI 40
article thumbnail

What can you find with continuous ST monitoring in the ED?

Dr. Smith's ECG Blog

His initial high sensitivity troponin I returned at 1300 ng/L and given that his cardiac workup was otherwise unremarkable, a CT was obtained to evaluate for pulmonary embolism and aortic aneurysm or dissection but this too was unrevealing. Another EKG was also obtained. ECG at time 82 minutes: What do you think?