Dr. Smith's ECG Blog

APRIL 8, 2016

Here is his ED ECG: There is obvious infero-posterior STEMI. What are you worried about in addition to his STEMI? There is also bradycardia. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Bradycardia puts patients at risk for "pause-dependent" Torsades de Pointes. Is 40 mEq too much?

STEMI 52

STEMI Myocardial Infarction Cardiac Arrest Arrhythmia 52

EMS 12-Lead

MARCH 19, 2023

David Didlake Acute Care Nurse Practitioner Firefighter / Paramedic (Ret) @DidlakeDW Expert contribution by Dr Robert Herman @RobertHermanMD @PowerfulMedical (Chief Medical Officer) An adult male called 911 for new-onset epigastric burning. Fire/EMS crews found him clammy and uncomfortable. Is this OMI?

Myocardial Infarction 52

Myocardial Infarction STEMI Coronary Angiogram Coronary Artery Disease 52

Dr. Smith's ECG Blog

MARCH 30, 2014

One of my most talented readers is a health care assistant (a nursing assistant) who has taken a keen interest in ECGs. Trop T now very high, well into the range one sees with a STEMI; very unusual in type II MI. There is a junctional bradycardia. And they teach me a lot. He can beat nearly anyone. You don't have to be a genius.

Outcomes 52

Outcomes Cardiogenic Shock STEMI Chest Pain 52

Dr. Smith's ECG Blog

DECEMBER 20, 2013

Without seeing the patient, my interpretation of the first ECG was: likely normal variant ST-elevation (early repolarization), with a small possibility of pericarditis, and almost no possibility of acute coronary occlusion (STEMI). and therefore highly unlikely to be STEMI.

Pericarditis 52

Pericarditis Chest Pain Pulmonary STEMI 52