Article Cardiac Arrest Myocardial Infarction 
Dr. Smith's ECG Blog
OCTOBER 8, 2024
About 45 minutes after the second EKG, the patient was found in cardiac arrest. Later the next day, she went into cardiac arrest again. By the time I saw the repeat EKG, the patient was already in cardiac arrest. Hyperacute T Wave in the Early Diagnosis of Acute Myocardial Infarction.
European Journal of Heart Failure
DECEMBER 13, 2023
Impella and venoarterial extracorporeal membrane oxygenation (VA-ECMO) in patients with acute myocardial infarction-related cardiogenic shock (AMICS). Impella patients were older (34% vs. 13% >75 years, p < 0.001) and less frequently presented after an out-of-hospital cardiac arrest (18% vs. 40%, p < 0.001).
Dr. Smith's ECG Blog
JULY 14, 2023
Two recent interventions have proven in randomized trials to improve neurologic survival in cardiac arrest: 1) the combination of the ResQPod and the ResQPump (suction device for compression-decompression CPR -- Lancet 2011 ) and 2) Dual Sequential defibrillation. The patient had ROSC and maintained it.
The British Journal of Cardiology
NOVEMBER 29, 2023
Primary percutaneous coronary intervention (PPCI) remains the gold-standard treatment for ST-elevation myocardial infarction (STEMI). We present the case of a man in his 50s, admitted with cardiac arrest secondary to inferolateral STEMI.
Dr. Smith's ECG Blog
MAY 19, 2020
In this case, profound shock for 1 hour would result in the same degree of infarction. I suspect this is Type 2 MI due to prolonged severe hypotension from cardiac arrest. A followup ECG was recorded 2 days later: No definite evidence of infarction. This is a troponin I level that is almost exclusively seen in STEMI.
Dr. Smith's ECG Blog
NOVEMBER 30, 2022
It is apparently fortunate that she had a cardiac arrest; otherwise, her ECG would have been ignored. In a recent article (J Electrocardiol this year, see reference below), peak trop onin I levels in takotsubo presenting with ST Elevation were median 1.02 She was defibrillated and resuscitated. ng/mL [IQR: 0.46, 2.35].
Dr. Smith's ECG Blog
JANUARY 4, 2021
Both of these patterns together suggest Aslanger's pattern , recently published in J Electrocardiology: A new electrocardiographic pattern indicating inferior myocardial infarction. These suggest inferior OMI with possible RV involvement. Could this be Septal STEMI (STE in V1 and aVR, with reciprocal ST depression in V4-V6?),
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