Coronary Angiogram Hospital STEMI 
Dr. Smith's ECG Blog
NOVEMBER 15, 2023
Post cath ECG: Now there are hyperacute T-waves again, and recurrent ST depression in V2 This ECG would normally diagnostic of OMI until proven otherwise No further troponins were measured, but it looks like there is recurrent OMI Next day: A CT Coronary Angiogram was done (CTCA) CARDIAC MORPHOLOGY AND FUNCTION: 1. IMPRESSION: 1.
Dr. S. Venkatesan MD
JUNE 26, 2024
Wuhan Asia Heart Hospital, Wuhan, China Did you guess the diagnosis correctly? It is an acceptable diagnosis, if you thought an anomalous LCA, a LAD CTO or a single coronary artery. We know, how adverse is the outcome of Left main STEMI. Left Main Coronary Artery Atresia: Diagnostic Images of a Rare Coronary Anomaly.
Dr. Smith's ECG Blog
MAY 20, 2024
The cardiologist recognized that there were EKG changes, but did not take the patient for emergent catheterization because the EKG was “not meeting criteria for STEMI”. So the patient was admitted to the hospital with no plan for an angiogram. Instead he had an angiogram at 0800 on day 3. Smith: What???!!!
Dr. Smith's ECG Blog
DECEMBER 9, 2023
He has a history of STEMI and heart failure. link] Case continued The conventional algorithm diagnosed STEMI and so did the paramedics. A Coronary angiogram from 8 years prior revealed that he had had an inferior posterior STEMI at the time due to 100% occlusion of the proximal RCA. He had a prehospital ECG.
EMS 12-Lead
APRIL 8, 2022
BP 142/100 HR 90 RR 16 (BBS CTA) SpO2 99 (RA) Dstick 110 My colleagues noted the ST-depression in the respective leads, as well, and STEMI activated to the nearest PCI center. This final ECG, however, was recorded upon hospital arrival, the timing of which coincided with the patient verbalizing cessation of symptoms. 1] Driver, B.
Dr. Smith's ECG Blog
NOVEMBER 4, 2022
This has been termed a “STEMI equivalent” and included in STEMI guidelines, suggesting this patient should receive dual anti-platelets, heparin and immediate cath lab activation–or thrombolysis in centres where cath lab is not available. aVR ST segment elevation: acute STEMI or not? Incidence of an acute coronary occlusion.
EMS 12-Lead
MARCH 19, 2023
It doesn’t meet any conventional STEMI criteria, but there is patently obvious increased area under the curve. Could there have been a different outcome if the crews immediately recognized OMI – versus a shortened PR-interval – and commenced with pre-hospital Cath Lab activation? Is this OMI?
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