Critical Care Ischemia Stenosis 
Dr. Smith's ECG Blog
AUGUST 26, 2024
It turns out that the conventional algorithm was also worried, and because of that, the patient was brought to the critical care area. There is akinesis of the distal septum, anterior, apex, and distal inferior wall consistent with LAD territory ischemia or infarction. How large is the infarct?
Dr. Smith's ECG Blog
JULY 16, 2022
If you put the inferior and posterior findings together, it is diagnostic of OMI This was read as "inferior ischemia" without any other information by Dr. Richard Gray and as probable reperfused inferior-posterior OMI much later by both me and Pendell Meyers, also without any clinical information.
Dr. Smith's ECG Blog
NOVEMBER 1, 2022
This EKG was recorded as part of a standing order for critical care. 2 days later This is a typical LVH pattern, without ischemia Patient underwent 4 vessel CABG. He had been smoking an opiate and suddenly collapsed. He was ventilated with BVM on arrival. He awoke with naloxone. He denied any CP or SOB.
Dr. Smith's ECG Blog
OCTOBER 7, 2019
RCA ischemia often results in sinus bradycardia from vagal reflex or ischemia of the sinus node. The patient arrived at the Emergency Dept critical care area and had this ECG recorded: The sinus bradycardia persists. He was successfully stented.
Dr. Smith's ECG Blog
OCTOBER 6, 2018
We brought the patient into one of our critical care rooms and immediately got more history while recording this repeat ECG: The STE in I has greatly diminished or entirely disappeared. Let's zoom in on I and aVL: Lead I (top panel) has less than 1mm of STE. aVL is also less dramatic but still abnormal.
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