Remove Cardiac Function Remove Ischemia Remove STEMI
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What are treatment options for this rhythm, when all else fails?

Dr. Smith's ECG Blog

The ECG shows obvious STEMI(+) OMI due to probable proximal LAD occlusion. Cardiac function is poor, with akinesis of the LAD territory. There is no definite evidence of acute ischemia. (ie, Some residual ischemia in the infarct border might still be present. The below ECG was recorded.

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

Dr. Smith's ECG Blog

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?

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