Aortic Echocardiogram STEMI 
Dr. Smith's ECG Blog
MARCH 9, 2024
Due to the chest pain radiating into the patient's back, the ER physician ordered CTA chest to rule out aortic dissection. The cardiologist agreed that the ECG was suggestive of STEMI, but the facility's cath lab was apparently not available and he therefore recommended emergent transfer to a cath capable facility.
Dr. Smith's ECG Blog
DECEMBER 22, 2022
He visited an outpatient clinic for it and an echocardiogram and exercise stress test was normal. As his pain was very severe, emergency physicians concerned of aortic dissection and ordered a thoracic CT scan. Take home messages: 1- In STEMI/NSTEMI paradigm you search for STE on ECG. He has 40 packs-year of smoking history.
Dr. Smith's ECG Blog
JULY 18, 2014
Thus, this is BOTH an anterior and inferior STEMI in the setting of RBBB. How old is this antero-inferior STEMI? Although acute anterior STEMI frequently has narrow QR-waves within one hour of onset (1. the presence of such well developed, wide, anterior Q-wave suggests completed transmural STEMI. Could it be acute (vs.
Dr. Smith's ECG Blog
OCTOBER 4, 2010
An echocardiogram confirmed aortic stenosis with a large pressure gradient. Thus, this patient had increased ST elevation (current of injury) superimposed on the ST elevation of LVH and simulating STEMI. The next day, and angiogram showed normal coronary arteries. He awoke and did well.
Dr. Smith's ECG Blog
APRIL 24, 2015
An echocardiogram showed: Left ventricular hypertrophy concentric. The estimated left ventricular ejection fraction is 58 % Aortic stenosis, mild, 9.0 We found that 38% of out of hospital ventricular fibrillation was due to STEMI. The patient thus did not need immediate angiography. mmHg mean gradient. cm^2 valve area.
Dr. Smith's ECG Blog
SEPTEMBER 7, 2024
Smith : there is some minimal ST elevation in V2-V6, but does not meet STEMI criteria. They also wanted an aortic CT which was negative. Transient STEMI has been studied and many of these patients will re-occlude in the middle of the night. Is it normal STE? However , there is terminal QRS distortion in lead V3. Full text link.
Dr. Smith's ECG Blog
NOVEMBER 4, 2022
This has been termed a “STEMI equivalent” and included in STEMI guidelines, suggesting this patient should receive dual anti-platelets, heparin and immediate cath lab activation–or thrombolysis in centres where cath lab is not available. See this case: what do you think the echocardiogram shows in this case?
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