Dr. Smith's ECG Blog

AUGUST 3, 2017

Computer read: "Non-specific ST abnormality, consider anterior subendocardial ischemia" There are very poor R-waves in V1-V4 suggesting old anterior MI. Firstly, subendocardial ischemia does not localize on 12-Lead ECG. But the real question at hand is: Are these precordial ST-depressions a result of subendocardial ischemia?

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Ischemia 52

DAIC

FEBRUARY 14, 2025

Critical limb-threatening ischemia (CLTI) represents the end stage of peripheral artery disease (PAD), when poor circulation due to blockages in the arteries causes symptoms including numbness, sores that will not heal, gangrene, and extreme pain. When we save a limb, we save a life.

Hospital 52

Hospital Peripheral Arterial Disease Cancer Innovation 52

Dr. Smith's ECG Blog

OCTOBER 24, 2019

This strongly suggests reperfusing RCA ischemia. Troponins, echocardiogram An echocardiogram showed inferobasilar hypokinesis, further supporting a diagnosis of regional ischemia , likely of the area supplied by the RCA. There is also a Q-wave in III. There is also subtle STD in V3-V5. The initial troponin I was elevated at 0.75

Chest Pain 52

Chest Pain SCAD STEMI Cardiogenic Shock 52

Dr. S. Venkatesan MD

DECEMBER 4, 2024

We have top prove the same viable segment is critically ischemic as well.The buck doesn’t stop there, the procedure we do should be good enough to eliminate that ischemia , 4.If We do get some useful information from these trials 1.Expertise Expertise and hardware.We have good technology to do a successful PCI. EuroIntervention.

Angina 52

Angina Cardiovascular Surgery Cardiovascular Imaging Cardiovascular Interventions 52

Dr. Smith's ECG Blog

JANUARY 24, 2025

Severe ischemia can be present even when the chest pain is gone. J Cardiovascular Interventions.--20/53 The CLINICIAN is the historian.) Smith : Even resolution of symptoms is not enough. There must be resolution of BOTH symptoms and ECG findings (not progression of ECG findings!). See this case.

Chest Pain 125

Chest Pain STEMI Risk Factors Coronary Artery Disease 125

Dr. Smith's ECG Blog

MARCH 8, 2025

It is possible there is microvascular dysfunction producing residual transmural ischemia. But this is most common when there is prolonged ischemia, and this patient had the fastest reperfusion imaginable! Catheterization and Cardiovascular Interventions , 82 (6), 909913. SanzRuiz, R., Solis, J., & link] Bai, J.,

Cardiomyopathy 75

Cardiomyopathy Myocardial Infarction Defibrillator Bradycardia 75