Angioplasty, ICU and STEMI - Cardiovascular Update

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Angioplasty

ICU

STEMI

Four anterior STEMIs: acute and reperfused vs. won't reperfuse, subacute and reperfused vs. not reperfused

Dr. Smith's ECG Blog

OCTOBER 26, 2011

Echo on the day after admission showed EF of 30-35% and antero-apical wall akinesis with an LV thrombus [these frequently form in complete or near complete (no early reperfusion) anterior STEMI because of akinesis/stasis] 2 more days later, this was recorded: ST elevation is still present. The LAD has reperfused early. This was recorded 2.5

STEMI

STEMI Myocardial Infarction Chest Pain Angioplasty

A dialysis patient with nonspecific symptoms and pseudonormalization of ST segments

Dr. Smith's ECG Blog

SEPTEMBER 29, 2018

The lesion was intervened on with balloon angioplasty and had subsequent TIMI 3 flow. Fortunately, he was extubated several days later in the ICU with intact baseline mental status and was discharged shortly thereafter to subacute rehab. There was initially TIMI 0 flow. His troponin I peaked at 97 ng/mL (very large MI!).

Chest Pain

Chest Pain Myocardial Infarction Cardiac Arrest Ischemia

Four anterior STEMIs: acute and reperfused vs. won't reperfuse, subacute and reperfused vs. not reperfused

A dialysis patient with nonspecific symptoms and pseudonormalization of ST segments

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