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Is OMI an ECG Diagnosis?

Dr. Smith's ECG Blog

Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. 1] European guidelines add "regardless of biomarkers". Circulation 2014 2. But only 6.4% link] References 1.

STEMI 121
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Circumflex Occlusion May be Subtle or Invisible on the ECG

Dr. Smith's ECG Blog

reports MI in 2001 with a stent placed in the "marginal" artery. First, this patient had a known stent in the "marginal" artery and thought he was having a heart attack. However, ST elevation is only an imperfect surrogate for complete acute persistent occlusion of an epicardial coronary artery without collateral circulation.

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Occlusion myocardial infarction is a clinical diagnosis

Dr. Smith's ECG Blog

The ESC states that patients with suspected ACS should go to the cath lab in <2 hours "regardless of ECG or biomarker evidence of MI!!" Here is the angiogram after stent placement. Circulation , 130 (25). The thrombus is circled in red below. The patient suffered a large infarct. Mukherjee, D., Peterson, E. Sabatine, M.

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Persistent Chest Pain, an Elevated Troponin, and a Normal ECG. At midnight.

Dr. Smith's ECG Blog

It was opened and stented with a door to balloon time of about 120 minutes (this is long for STEMI, but very short for a high risk Non STEMI). The 4th, after the opening of the artery and release of troponin from the cardiac circulation, was 99.9 ng/mL So this was a very large MI!! This includes: 1.

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7 steps to missing posterior Occlusion MI, and how to avoid them

Dr. Smith's ECG Blog

It was a 60yo with a history of stents to the circumflex and right coronary arteries, who presented with 9 hours of fluctuating central chest pain. So even without the diagnostic ECGs, they had clinical evidence of refractory ischemia with biomarker (troponin) confirmation. The patient was still in pain, with a third troponin of 500.

STEMI 52
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International Stroke Conference 2024 to Present High-Profile Late-Breaking Science

DAIC

MT) TESLA: The Thrombectomy for Emergent Salvage of Large Anterior Circulation Ischemic Stroke Trial: 1-Year Outcome: Osama Zaidat, Mercy Health St. Late-Breaking Science sessions and concurrent oral abstract presentations are as follows: Wed.,

Stroke 100
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Published Research

Society of Thoracic Surgeons - Research

Institutional Coronary Artery Bypass Case Volumes and Outcomes European Journal of Heart Failure October 2023 Makoto Mori 1 Robotic Mitral Valve Repair for Degenerative Mitral Regurgitation The Annals of Thoracic Surgery August 2023 Carlos Diaz-Castrillion 2 Volume-Failure to Rescue Relationship in Acute Type A Aortic Dissections: An Analysis of The (..)