Dr. Smith's ECG Blog

SEPTEMBER 20, 2011

The structure at the bottom that is moving is the mitral valve, with anterior and posterior leaflets. This is as clear a STEMI as you can get. So this is classic inferoposterior STEMI on the ECG but is NOT acute coronary syndrome! This is a posterior wall motion abnormality. This could not have been known without the angiogram.

Cardiac Arrest 52

Cardiac Arrest STEMI Ultrasound Chest Pain 52

Dr. Smith's ECG Blog

MARCH 28, 2017

EMS recorded these ECGs: Time 0: In V2-V4, there is ST elevation that does not meet STEMI "criteria," of 1.5 If it were me, I would get values at the level of the mitral valve, papillary muscles, and apex (all in PSS axis). She was having a transient STEMI, briefly. She called 911. mm at the J-point, relative to the PQ junction.

STEMI 52

STEMI Risk Factors Bicuspid/Mitral Ultrasound 52

Dr. Smith's ECG Blog

OCTOBER 23, 2022

EMS recorded these prehospital ECGs: Time 0: In V2-V4, there is ST elevation that does not meet STEMI "criteria," of 1.5 If it were me, I would get values at the level of the mitral valve, papillary muscles, and apex (all in PSS axis). She was having a transient STEMI, briefly. She called 911. I have been wrong before though!

STEMI 52

STEMI Chest Pain Hospital Risk Factors 52