Remove Angioplasty Remove Electrocardiogram Remove Myocardial Infarction
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Four anterior STEMIs: acute and reperfused vs. won't reperfuse, subacute and reperfused vs. not reperfused

Dr. Smith's ECG Blog

Here is some older but very interesting literature on TIMI myocardial perfusion grade and ST resolution : 1. Determinants and prognostic implications of persistent ST-segment elevation after primary angioplasty for acute myocardial infarction: importance of microvascular reperfusion injury on clinical outcome.

STEMI 52
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Right precordial ST depression in a patient with chest pain

Dr. Smith's ECG Blog

Electrocardiographic Manifestations: Acute posterior wall myocardial infarction. Posterior myocardial infarction: the dark side of the moon. New electrocardiographic criteria for posterior wall myocardial ischemia validated by percutaneous transluminal coronary angioplasty model of acute myocardial infarction.

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Is OMI an ECG Diagnosis?

Dr. Smith's ECG Blog

Refractory ischemic chest pain continued and trop increased to 160,000ng/L, with subtle convex anterior ST elevation: The patient was brought back to cath lab for stenting of LAD and balloon angioplasty to OM. Clin Cardiol 2022 4. Herman, Meyers, Smith et al. Eur Heart J Digital Health 2024 5. McLaren and Smith.

STEMI 121
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Precordial ST depression. What is the diagnosis?

Dr. Smith's ECG Blog

New electrocardiographic criteria for posterior wall acute myocardial ischemia validated by a percutaneous transluminal coronary angioplasty model of acute myocardial infarction. Kligfield P, Gettes LS, Bailey JJ, et al. Am J Cardiol 2001;87(8):970-4. Matetzky S, Friemark D, Feinberg MS, et al.

STEMI 52
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How does Acute Total Left Main Coronary occlusion present on the ECG?

Dr. Smith's ECG Blog

At the bottom of the post, I have re-printed the section on aVR in my article on the ECG in ACS from the Canadian Journal of Cardiology: New Insights Into the Use of the 12-Lead Electrocardiogram for Diagnosing Acute Myocardial Infarction in the Emergency Department Case 1. Widimsky P et al. J Electrocardiol 2012;45:487-90.