Cardiovascular Interventions and STEMI

Unconscious After Arrest and Primary PCI in STEMI: Hold or Go?

Circulation: Cardiovascular Interventions

OCTOBER 14, 2024

Circulation: Cardiovascular Interventions, Volume 17, Issue 10 , Page e014689, October 1, 2024.

STEMI

STEMI Cardiovascular Interventions Circulation

Use of Pressure-Controlled Intermittent Coronary Sinus Occlusion in STEMI: The Road Not Taken!

Circulation: Cardiovascular Interventions

APRIL 15, 2024

Circulation: Cardiovascular Interventions, Volume 17, Issue 4 , Page e014078, April 1, 2024.

STEMI

STEMI Cardiovascular Interventions Circulation

Perfect Wedding Between Patient With STEMI and Angiography-Derived Indexes of Coronary Physiology

Circulation: Cardiovascular Interventions

FEBRUARY 20, 2024

Circulation: Cardiovascular Interventions, Ahead of Print.

STEMI

STEMI Physiology Cardiovascular Interventions Circulation

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Angiography-Derived Index of Microcirculatory Resistance to Define the Risk of Early Discharge in STEMI

Circulation: Cardiovascular Interventions

FEBRUARY 20, 2024

Circulation: Cardiovascular Interventions, Ahead of Print. BACKGROUND:Patients with ST-segment–elevation myocardial infarction but no coronary microvascular injury are at low risk of early cardiovascular complications (ECC).

Myocardial Infarction

Myocardial Infarction STEMI Cardiogenic Shock Cardiac Arrest

Occlusion myocardial infarction is a clinical diagnosis

Dr. Smith's ECG Blog

DECEMBER 11, 2023

Recall from this post referencing this study that "reciprocal STD in aVL is highly sensitive for inferior OMI (far better than STEMI criteria) and excludes pericarditis, but is not specific for OMI." Immediate versus delayed invasive intervention for non-stemi patients. JACC: Cardiovascular Interventions , 9 (6), 541–549.

Myocardial Infarction

Myocardial Infarction Chest Pain STEMI Blood Pressure

Right precordial ST depression in a patient with chest pain

Dr. Smith's ECG Blog

AUGUST 3, 2017

The precordial ST-depression pattern on this ECG (and in this clinical setting) should immediately raise suspicion of Posterior STEMI! Posterior STEMI occurs in approximately 15-20% of acute MI, but the vast majority of the time it is seen in conjunction with inferior (Infero-Posterior) or lateral (Postero-Lateral) STEMI (1).

Chest Pain

Chest Pain Myocardial Infarction STEMI Ischemia

A Tough ECG, But Learn From It!

Dr. Smith's ECG Blog

JUNE 18, 2013

His ECG was repeated at this point: This shows a well developed anterior STEMI. To not see these findings is very common, and this patient would be given the diagnosis of NonSTEMI, with subsequent development of STEMI. It is not a missed STEMI, but it is a missed coronary occlusion. The peak troponin I was over 100.

STEMI

STEMI Chest Pain Myocardial Infarction Webinar

A young peripartum woman with Chest Pain

Dr. Smith's ECG Blog

OCTOBER 24, 2019

A recent study found that SCAD causes almost 20% of STEMI in young women. examined SCAD presenting as STEMI (unlike Hassan et al. I had no idea SCAD was so common a cause of acute STEMI in younger women, even when they are non-smokers. A study by Hassan et al. Lobo et al. where more than 3/4 of cases were NSTEMI).

Chest Pain

Chest Pain SCAD STEMI Cardiogenic Shock

Normal ACS care, everything by the book! But normal ACS care could be much better. This post explains everything.

Dr. Smith's ECG Blog

MARCH 17, 2025

Limitations of registry data: This patient presented with STEMI (-) OMI and developed STEMI the following day. But the time that elapsed from first STEMI (+) ECG to balloon was 57 minutes, and THIS is what will be recorded for reporting to the National Cardiovascular Data Registry for purposes of quality improvement.

STEMI

STEMI Chest Pain Myocardial Infarction Document

Should we wait for troponin when the ECG does not show "diagnostic" ST Elevation?

Dr. Smith's ECG Blog

JANUARY 24, 2025

Learning points: 40% of LAD OMI with TIMI-0 flow do NOT meet STEMI criteria (manuscript under consideration at Eur Ht. J Cardiovascular Interventions.--20/53 20/53 did not meet STEMI criteria, but all showed OMI diagnosed by both Smith and the Queen of Hearts. If the ECG shows OMI, activate the cath lab IMMEDIATELY.

Chest Pain

Chest Pain STEMI Risk Factors Coronary Artery Disease

Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?

Dr. Smith's ECG Blog

MARCH 8, 2025

Catheterization and Cardiovascular Interventions , 82 (6), 909913. There was indication of parasympathetic overdrive ( the acute inferior STEMI with profound bradycardia and junctional escape ). SanzRuiz, R., Solis, J., & & FernndezAvils, F. link] Bai, J., Tang, Z., & & Zhang, P.

Cardiomyopathy

Cardiomyopathy Myocardial Infarction Defibrillator Bradycardia

Cardiovascular Update

Unconscious After Arrest and Primary PCI in STEMI: Hold or Go?

Use of Pressure-Controlled Intermittent Coronary Sinus Occlusion in STEMI: The Road Not Taken!

Perfect Wedding Between Patient With STEMI and Angiography-Derived Indexes of Coronary Physiology

Webinars

Angiography-Derived Index of Microcirculatory Resistance to Define the Risk of Early Discharge in STEMI

Occlusion myocardial infarction is a clinical diagnosis

Right precordial ST depression in a patient with chest pain

A Tough ECG, But Learn From It!

A young peripartum woman with Chest Pain

Normal ACS care, everything by the book! But normal ACS care could be much better. This post explains everything.

Should we wait for troponin when the ECG does not show "diagnostic" ST Elevation?

Patient is informed of her husband's death: is it OMI or it stress cardiomyopathy?

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