Circulation STEMI Thrombolysis 
Dr. S. Venkatesan MD
SEPTEMBER 1, 2024
“ Since Intravenous lysis looks too simplistic, that do not need expertise, and lacks a commercial trail, it is wrongly depicted as inferior management strategy in STEMI “ Every one of us is equally responsible for this sorry state of affairs. In this context, we need a movement to revive the pre-hospital thrombolysis.
Dr. S. Venkatesan MD
MARCH 3, 2025
Is primary PCI superior to thrombolysis in the first hour of STEMI ? Steg PG, Bonnefoy E, Chabaud S, Lapostolle F, Dubien PY, Cristofini P, Leizorovicz A, Touboul P; Comparison of Angioplasty and Prehospital Thrombolysis In acute Myocardial infarction (CAPTIM) Investigators. Circulation. No, it is not. Read ref 1, 2.
Circulation
NOVEMBER 11, 2024
Circulation, Volume 150, Issue Suppl_1 , Page A4141279-A4141279, November 12, 2024. Background:Slow flow phenomenon is impaired coronary flow during percutaneous coronary intervention (PCI) in absence of mechanical obstruction, and it is associated with deteriorated outcome.
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).
Dr. Smith's ECG Blog
MARCH 9, 2013
Here is the prehospital ECG, with pain: Hyperacute anterolateral STEMI The medics had activated the cath lab and the patient went for angiogram and had a 95% stenotic LAD with TIMI-3 flow. Type B waves are deeper and symmetric. When the patient had chest pain, prior to nitroglycerine, what do you think the ECG showed ? A stent was placed.
Circulation: Cardiovascular Imaging
MARCH 24, 2025
Circulation: Cardiovascular Imaging, Ahead of Print. Linear regression identified prepercutaneous coronary intervention Thrombolysis in Myocardial Infarction flow (=3.35,P<0.001) Early gadolinium enhancement (EGE) emerges as an alternative for measuring the area at risk. P<0.001) and microvascular obstruction (=11.92,P<0.001)
Dr. Smith's ECG Blog
MARCH 11, 2016
cm diameter in the apex The presence of thrombus led the clinicians to state that this was a "late presentation STEMI." It does take some time for thrombus to form, but the EKG and the troponin profile show that this was NOT a late presentation STEMI. Circulation 1993; 88:896-904. Circulation 1995; 91:1659-1668.
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