Bradycardia Research STEMI 
Dr. Smith's ECG Blog
JUNE 1, 2022
Moreover, the research which appears to confirm this idea was indeed in relation to the circumflex, but they did not study Occlusion ; rather, they studied asymptomatic coronary disease. I am glad that Ken Grauer (below) brings up the issue of whether the presence of "T-wave in V1 taller than T-wave in V6" is evidence for OMI.
Dr. Smith's ECG Blog
MAY 19, 2020
There is sinus bradycardia with one PVC. This is a troponin I level that is almost exclusively seen in STEMI. So this is either a case of MINOCA, or a case of Type II STEMI. If the arrest had another etiology (such as old scar), and the ST elevation is due to severe shock, then it is a type II STEMI. What is Type 2 MI?
Dr. Smith's ECG Blog
MARCH 24, 2023
There’s sinus bradycardia, first degree AV block, normal axis, delayed R wave progression, and normal voltages. There’s minimal concave ST elevation in III which does not meet STEMI criteria, so this ECG is "STEMI negative". Use STEMI criteria to identify acute coronary occlusion: the ECG was STEMI negative 2.
Dr. Smith's ECG Blog
AUGUST 9, 2024
The receiving emergency physician consulted with interventional cardiology who stated there was no STEMI. Is there STEMI? Circulation Research , 56 (2), 184–194. About one hour later his high sensitivity troponin I resulted at 3,000 ng/L (reference 3-54 ng/L). The patient continued having chest pain. Do not treat AIVR.
Dr. Smith's ECG Blog
JANUARY 30, 2019
I remember Allie well from her days in the Research volunteer program at Hennepin. 2) The STE in V1 and V2 has an R'-wave and downsloping ST segments, very atypical for STEMI. Cardiology was consulted and they agreed that the EKG had an atypical morphology for STEMI and did not activate the cath lab. Bicarb 20, Lactate 4.2,
Dr. Smith's ECG Blog
MAY 23, 2022
Note: according to the STEMI paradigm these ECGs are easy, but in reality they are difficult. Theres inferior STE which meets STEMI criteria, but this is in the context of tall R waves (18mm) and relatively small T waves, and the STD/TWI in aVL is concordant to the negative QRS. This was false positive STEMI with an ECG mimicking OMI.
Dr. Smith's ECG Blog
MARCH 8, 2025
Within ten minutes, she developed bradycardia, hypotension, and ST changes on monitor. Bradycardia and heart block are very common in RCA OMI. Circulation Research , 114 (12), 18521866. There was indication of parasympathetic overdrive ( the acute inferior STEMI with profound bradycardia and junctional escape ).
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