Angina Ischemia Myocardial Infarction 
Dr. Smith's ECG Blog
SEPTEMBER 18, 2024
This confirms that the pain was ischemia and is now resovled. Thus, it has recently become generally accepted that most plaque ruptures resulting in myocardial infarction occur in plaques that narrow the lumen diameter by 40% of the arterial cross section may be involved by plaque. The i nitial hs troponin I returned 75%.
Frontiers in Cardiovascular Medicine
JANUARY 22, 2024
Myocardial ischemia may induce myocardial fibrosis, a condition that progressively leads to ventricular remodeling, heightening the risk of heart failure. The timely detection of myocardial fibrosis is crucial for intervention and improved outcomes. The results demonstrated tracer-specific uptake (SUVmax = 4.6)
Dr. Smith's ECG Blog
MAY 20, 2024
This EKG is diagnostic of transmural ischemia of the inferior wall. Smith: note also the terminal QRS distortion in lead III (absence of S-wave without a prominent J-wave). . __ Smith comment 1 : the appropriate management at this point is to lower the blood pressure (lower afterload, which increases myocardial oxygen demand).
Dr. Smith's ECG Blog
MARCH 13, 2024
By definition , this is acute myocardial infarction, the only question now is the etiology. It is not clear exactly what symptoms the patient may have been experiencing at this time, but the notes indicate that he then developed "worsening" pain, suggesting he had likely had ongoing angina the whole time.
Dr. Smith's ECG Blog
MARCH 9, 2013
For those who depend on echocardiogram to confirm the ECG findings of ischemia, this should be sobering. In this case, the duration of ischemia was so brief that there was no such evolution, and there was near-normalization. Wellens' syndrome represents a state of reperfusion of the infarct related artery 2. Lessons: 1.
Dr. Smith's ECG Blog
MARCH 17, 2024
Although radiation into the left arm is most classic for coronary ischemia, radiation into both arms is actually modestly more predictive ). The primary care physician's note indicates low suspicion for cardiac ischemia, but "for completion, check troponin and ECG." Vasospastic angina is commonly the worst in the morning and at night.
Dr. Smith's ECG Blog
SEPTEMBER 5, 2024
This is a value typical for a large subacute MI, n ormal value 48 hours after myocardial infarction is associated with Post-Infarction Regional Pericarditis ( PIRP ). Mechanical complications secondary to myocardial infarction are infrequent due to most patients receiving revascularization quite rapidly.
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