Blood Pressure Embolism STEMI 
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
DECEMBER 14, 2016
The blood pressure was 110/60. The "criteria" for posterior STEMI are 0.5 Is it STEMI or NonSTEMI? The patient had been on a long drive, suggesting possible pulmonary embolism (this was unlikely given absence of tachyardia, hypoxia, or any other feature of PE), so we sent a d dimer. It was not relieved by anything.
Dr. Smith's ECG Blog
MAY 10, 2023
Given that there was such a high blood pressure, it is possible that this is a type 2 MI (supply demand mismatch due to high oxygen demand when myocardium is pumping against such elevated blood pressure.) Thus, Wellens' syndrome should be thought of as a transient OMI or transient STEMI. The patient was admitted.
Dr. Smith's ECG Blog
DECEMBER 19, 2023
EMS obtained the following vital signs: pulse 50, respiratory rate 16, blood pressure 96/49. [link] A 62 year old man with a history of hypertension, type 2 diabetes mellitus, and carotid artery stenosis called 911 at 9:30 in the morning with complaint of chest pain.
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. Bi-phasic scan showed no dissection or pulmonary embolism. Take home messages: 1- In STEMI/NSTEMI paradigm you search for STE on ECG. There was no premature cardiovascular diseases or sudden death in his family.
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