Ken Grauer, MD

APRIL 9, 2023

As discussed in ECG Blog #108 — AIVR generally occurs in one of the following C linical S ettings : i ) As a rhythm during cardiac arrest; ii ) In the monitoring phase of acute MI ( especially with inferior MI ) ; or , iii ) As a reperfusion arrhythmia ( ie, following thrombolysis, acute angioplasty, or spontaneous reperfusion ).

Blog 78

Blog Chest Pain Arrhythmia Cardiac Arrest 78

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.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52

Dr. Smith's ECG Blog

APRIL 8, 2022

If she's improving which it sounds like she is, resolving pain and no further arrhythmia I think probably best to treat as UA/NSTEMI as you are doing." In the setting of evolving infarction — development of AIVR often heralds the onset of reperfusion ( following thrombolysis, acute angioplasty, or spontaneous reperfusion ).

Chest Pain 52

Chest Pain SCAD STEMI Blog 52

Stroke Journal

FEBRUARY 1, 2024

Tenecteplase (TNK) is currently being used for IV thrombolysis in acute ischemic stroke. Stroke, Volume 55, Issue Suppl_1 , Page AWMP27-AWMP27, February 1, 2024. Tenecteplase is the first thrombolytic that can be administered over five seconds in a single dose.” Genetech, 2023).

Myocardial Infarction 40

Myocardial Infarction Stroke Strokes Nursing 40

Dr. Smith's ECG Blog

APRIL 9, 2025

REFERENCE Prevention of primary ventricular fibrillation in acute myocardial infarction with prophylactic lidocaine [link] Primary ventricular fibrillation (VF) during an acute myocardial infarction (AMI) occurs with a high incidence and mortality rate with or without thrombolysis. Mortality rates were 10.5%

Defibrillator 63

Defibrillator Cardiac Arrest Myocardial Infarction STEMI 63

Ken Grauer, MD

MARCH 8, 2025

Comparable benefit from acute reperfusion ( by PCI or thrombolysis ) is seen in patients with acute coronary occlusion from an OMI, as from a STEMI. Section 20 ( 54 pages = the " long " Answer ) from my ACLS-2013-Arrhythmias Expanded Version provides detailed discussion of WHAT the AV Blocks are and what they are not !

Blog 105

Blog STEMI Download Chest Pain 105