Blood Pressure Bradycardia STEMI 
Dr. Smith's ECG Blog
JANUARY 19, 2020
There is STE in III and aVF which does not meet STEMI criteria due to insufficient STE in lead aVF. Resuscitation was initiated and this ECG was obtained: Likely AFib (irregularly irregular) with bradycardia. The cardiologists were not familiar with this and insisted that the ECG in paced rhythm could not be used to "look for a STEMI".
Dr. Smith's ECG Blog
OCTOBER 7, 2019
There is an obvious inferior STEMI, but what else? Besides the obvious inferior STEMI, there is across the precordial leads also, especially in V1. This STE is diagnostic of Right Ventricular STEMI (RV MI). In fact, the STE is widespread, mimicking an anterior STEMI. EKG is pictured below: What do you think?
Dr. Smith's ECG Blog
DECEMBER 22, 2022
Blood pressure: 130/80 mmHg, heart rate: 45/min, respiratory rate: 18/min, SaO2: %98, body temperature: normal. His first electrocardiogram ( ECG) is given below: --Sinus bradycardia. Take home messages: 1- In STEMI/NSTEMI paradigm you search for STE on ECG. Peripheral pulses were all palpable. Turk Kardiyol Dern Ars.
Dr. Smith's ECG Blog
JULY 21, 2024
The ECG shows obvious STEMI(+) OMI due to probable proximal LAD occlusion. Immediately after contrast injection into the LMCA, the patient had circulatory collapse, with a precipitous drop in blood pressure. An Impella device was placed to maintain cardiac output and perfusion pressures. The below ECG was recorded.
Dr. Smith's ECG Blog
JUNE 19, 2024
Three months prior to this presentation, he received a pacemaker for severe bradycardia and syncope due to sinus node dysfunction. Another blood pressure was checked. He was severely hypotensive, with a systolic pressure in the 50s. His EKG with worse pain now shows enough ST elevation to meet STEMI criteria.
Dr. Smith's ECG Blog
MAY 30, 2023
Here is his ED ECG: There is bradycardia with a junctional escape. There is an obvious inferior posterior STEMI(+) OMI. Because the RV pressure is normally low (unlike the LV), it is perfused by systolic blood pressure in addition to diastolic, so hypotension is very bad for the RV. What is the atrial activity?
Dr. Smith's ECG Blog
JANUARY 5, 2024
The ECG shows sinus bradycardia but is otherwise normal. Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of "chest burning." The documentation does not describe any additional details of the history. The following ECG was obtained. ECG 1 What do you think?
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