Aortic Physiology STEMI 
All About Cardiovascular System and Disorders
MAY 26, 2024
Microvascular resistance evaluated whether the vasodilatory reserve capacity of coronary microcirculation was restored in the infarcted territory, regardless of concomitant epicardial coronary artery disease and aortic pressure. Immediate Microvascular Physiology After Mechanical Coronary Reperfusion of STEMI. J Am Coll Cardiol.
Dr. Smith's ECG Blog
AUGUST 4, 2024
QOH versions 1 and 2 both say Not OMI, with high confidence, without any clinical context, despite the abnormal STE meeting STEMI criteria. Two weeks ago he had a significant MVC with many severe injuries, including aortic injury s/p endovascular repair. I sent this to our group without information and Dr. Smith responded: "Not OMI.
Dr. S. Venkatesan MD
DECEMBER 2, 2023
This has important clinical significance , as many successfully lysed STEMI patient might have minimal segments of dissection/deep plaque fissures. , Spontaneous coronary dissection vs Iatrogenic dissection SCAD is a rare , different entity , enjoys a popular space in the patho-physiology of CAD.
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
Look at the aortic outflow tract. Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. The diagnostic coronary angiogram identified only minimal coronary artery disease, but there was a severely calcified, ‘immobile’ aortic valve.
Dr. Smith's ECG Blog
JANUARY 28, 2025
His first EKG is shown below, with a lead II rhythm strip: EKG 1, 1645 A provisder who is looking for STEMI would not see much in this EKG. It is possible that the T waves in this EKG are of an intermediate morphology between full-blown STEMI and inferior reperfusion. This is the classic morphology of hyperacute T waves.
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