Cardiac Function, Coronary Artery Disease and STEMI

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Cardiac Function

Coronary Artery Disease

STEMI

What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

JULY 21, 2024

The ECG shows obvious STEMI(+) OMI due to probable proximal LAD occlusion. Cardiac function is poor, with akinesis of the LAD territory. Studies of patients with coronary artery disease who developed arrhythmic storm with episodes of PMVT following MI — show arrhythmias indistinguishable from those reported in this case.

Arrhythmia

Arrhythmia Cardiogenic Shock Bradycardia Defibrillator

What will you do for this patient transferred to you who is now asymptomatic?

Dr. Smith's ECG Blog

MARCH 6, 2019

This is technically a STEMI, with 1.5 However, I think many practitioners might not see this as a clear STEMI, and would instead call this "borderline." They collected several repeat ECGs at the outside hospital before transport: None of these three ECGs meet STEMI criteria. This ECG was recorded on arrival: What do you think?

STEMI

STEMI Chest Pain Ischemia Myocardial Infarction

Cardiovascular Update

What are treatment options for this rhythm, when all else fails?

What will you do for this patient transferred to you who is now asymptomatic?

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