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The Nation’s Heart: Guatemala

Global Cardiac Surgery

Today, for the second blog of this series, Global Cardiac Surgery is featuring Guatemala, a lower-middle-income country in Central America serving as a hub and leading example for cardiac surgery in the Region.

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Inferior Hyperacute T-waves

Dr. Smith's ECG Blog

Methods : We searched the catheterization laboratory database for all cases coded as acute Inferior STEMI from January 2002 through March 2008. However, we believe that changes in lead aVL are far more sensitive. Objectives : To find the incidence of any rSTD or T-wave inversion (TWI) in angiographically proven inferior STEMI.

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LVH with anterior ST Elevation. When is it anterior STEMI?

Dr. Smith's ECG Blog

Electrocardiograhic findings resulting in inappropriate cardiac catheterization laboratory activation for ST-segment elevation myocardial infarction. Am J Cardiol. 2012;110(7):977-983. doi:10.1016/j.amjcard.2012.05. Shamim S, McCrary J, Wayne L, Gratton M, Bogart DB. Cardiovasc Diagn Ther. 2014;4(3):215-223. doi:10.3978/j.issn.2223-3652.

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What can you find with continuous ST monitoring in the ED?

Dr. Smith's ECG Blog

ECG at 11 hours: No comment needed Given this EKG with diagnostic findings, his heparin infusion was stopped, and he was given a 5000 unit heparin bolus and 180 mg of ticagrelor while the cardiac catheterization laboratory was activated and interventional cardiology was emergently consulted.