Dr. S. Venkatesan MD
DECEMBER 29, 2023
Cardiogenic shock (CS)is the most feared event following STEMI. We tend to perceive CS as an exclusive complication of STEMI. The incidence is half of that of STEMI, i.e., 2.5-5%. might show little elevation with considerable overlap of left main STEMI vs NSTEMI ) 2.Onset ACS pathophysiology is not that simple.
Dr. Smith's ECG Blog
APRIL 12, 2013
A male in his 40's who had been discharged 6 hours prior after stenting of an inferoposterior STEMI had sudden severe SOB at home 2 hours prior to calling 911. Is this acute STEMI? Is this an acute STEMI? -- Unlikely! He had no chest pain. Medications were aspirin, clopidogrel, metoprolol, and simvastatin.
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.
Stroke Journal
JANUARY 30, 2025
The ECG abnormalities investigated included AF, recent ST-elevation myocardial infarction (STEMI), left ventricular hypertrophy (LVH), right ventricular hypertrophy (RVH), P-pulmonale, and P-mitrale. Multivariate logistic regression, and multinomial regression by stroke severity, was performed and adjusted for covariates.
Circulation
NOVEMBER 11, 2024
Patients with documented STEMI, left ventricular thrombus, mechanical mitral or aortic valve replacement were excluded. ICD 10 codes were used to identify patients with documented a fib. Procedure ICD codes were used to identify patients that underwent percutaneous LAAO. 5,661 underwent percutaneous closure. years with STD 7.86.
Dr. Smith's ECG Blog
APRIL 26, 2017
This meets "STEMI criteria" However, there is very high voltage, with a very deep S-wave in V2 and tall R-wave in V4. The morphology is not right for STEMI. My interpretation: LVH with secondary ST-T abnormalities, exaggerated by stress, not a STEMI. This is very good evidence that the ST elevation is not due to STEMI.
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.
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