Blood Pressure STEMI Tachycardia 
Dr. Smith's ECG Blog
OCTOBER 26, 2010
He presented to the Emergency Department with a blood pressure of 111/66 and a pulse of 117. He was rushed by residents into our critical care room with a diagnosis of STEMI, and they handed me this ECG: There is sinus tachycardia with ST elevation in II, III, and aVF, as well as V4-V6. He had this ECG recorded.
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. Blood pressure was 215/124 and HR 115 (on metoprolol). Here is his ED ECG: There is sinus tachycardia. Is this acute STEMI? He had no chest pain.
Dr. Smith's ECG Blog
AUGUST 13, 2020
His previous echo one month prior shows the same thing: “consistent with old infarct in LAD vascular territory, with EF 45%” "I think there is something else causing his tachycardia which is exaggerating his EKG findings and mimicking an acute myocardial infarction." The patient spontaneously converted back to sinus tachycardia.
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 no hypertension, no tachycardia, a normal hemoglobin, no drug use, no hypotension/shock, no murmur of aortic stenosis. It was not relieved by anything. He had no previous medical history.
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
NOVEMBER 19, 2016
The initial blood pressure was 80/palp with a heart rate of 104, respirations 20, oxygen saturations of 94% and a finger stick blood glucose of 268. Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center.
Dr. Smith's ECG Blog
JULY 12, 2020
The cardiac monitor showed sinus rhythm but the automatic blood pressure cuff was not reading. We arrived in the resuscitation bay and recorded a heart rate of 115 bpm and blood pressure of 50/30 mm Hg. Why would she have such varying blood pressure? She was discharged home in good condition.
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