article thumbnail

LVH with anterior ST Elevation. When is it anterior STEMI?

Dr. Smith's ECG Blog

However, the ST segments in patients with LVH may show significant variation over time in the absence of ischemia. 3 Some have also suggested that the typically asymmetric T wave inversion (TWI) of LVH might be distinguished from the typically symmetric TWI of cardiac ischemia. However, no evidence is cited to support this.

STEMI 40
article thumbnail

Heart Pump Improves Survival After Severe Heart Attacks

DAIC

Participants were randomized before, during or up to 12 hours after receiving treatment in the cardiac catheterization laboratory, depending on when cardiogenic shock was diagnosed. Researchers randomly assigned patients to receive standard care or standard care plus treatment with an Impella CP pump.

article thumbnail

What can you find with continuous ST monitoring in the ED?

Dr. Smith's ECG Blog

ECG at 11 hours: No comment needed Given this EKG with diagnostic findings, his heparin infusion was stopped, and he was given a 5000 unit heparin bolus and 180 mg of ticagrelor while the cardiac catheterization laboratory was activated and interventional cardiology was emergently consulted.