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Which patient has the more severe chest pain?

Dr. Smith's ECG Blog

See these 2 articles Association between pre-hospital chest pain severity and myocardial injury in ST elevation myocardial infarction: A post-hoc analysis of the AVOID study Author links open overlay panel [link] 1 Background We sought to determine if an association exists between prehospital chest pain severity and markers of myocardial injury.

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Brugada syndrome in Iran: Insights from a 12?year longitudinal study

Journal of Cardiovascular Electrophysiology

Long-term Follow-up of Patients with Brugada Syndrome from a Tertiary Referral Center in Iran Abstract Background Brugada syndrome (BrS) is characterized by ST-segment elevation in the right precordial leads, which is not explained by ischemia, electrolyte disturbances, or obvious structural heart disease. 01), longer PR interval ( p =.03),

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Are these Hyperacute T-waves?

Dr. Smith's ECG Blog

Arterial pulse tapping artifact [link] This online article references the article below by Emre Aslanger, a great guy who occasionally corresponds with me about ECGs. Electromechanical association: a subtle electrocardiogram artifact. Figure-3: Page 475 from the Rowlands and Moore article that I reference above.

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How does Acute Total Left Main Coronary occlusion present on the ECG?

Dr. Smith's ECG Blog

Post by Smith and Meyers Sam Ghali ( [link] ) just asked me (Smith): "Steve, do left main coronary artery *occlusions* (actual ones with transmural ischemia) have ST Depression or ST Elevation in aVR?" That said, complete LM occlusion would be expected to have subepicardial ischemia (STE) in these myocardial territories: STE vector 1.

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Hyperthermia and ST Elevation

Dr. Smith's ECG Blog

The article is edited by Smith. Induced Brugada-type electrocardiogram, a sign for imminent malignant arrhythmias. This was submitted by Alexandra Schick. Dr. Schick is a PGY3 at the Brown Emergency Medicine Residency in Rhode Island. I remember Allie well from her days in the Research volunteer program at Hennepin.

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

Dr. Smith's ECG Blog

The patient continued to have ischemia after PCI, and in fact had an episode of polymorphic VT shortly after while in the ICU. The ECG, as it turns out, is the best predictor , better the TMP grade because TMP measures microvascular patency, and the ECG measures cellular viability ( see this full text article and this abstract ).

STEMI 52
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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Abnormal Electrocardiogram (ECG): Defined (San Fran syncope rule) as any new changes when compared to the last ECG or presence of non-sinus rhythm. Evidence of acute ischemia (may be subtle) vii. Annotated Bibliography For an excellent overview of ED Syncope management , see this article by Kessler C et al. Left BBB vi.