Critical Care Ischemia Stents 
Dr. Smith's ECG Blog
JUNE 23, 2024
This was interpreted by the treating clinicians as not showing any evidence of ischemia. Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. He was intubated in the field and sedated upon arrival at the hospital.
Dr. Smith's ECG Blog
FEBRUARY 15, 2018
Submitted and written by Alex Bracey, with edits by Pendell Meyers and Steve Smith: I was walking through the critical care section of the ED when I overheard a discussion about the following ECG. The patient was then taken to the cath lab an found to have a proximal RCA 100% thrombotic occlusion which was successfully stented.
Dr. Smith's ECG Blog
JULY 16, 2022
This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. Plus he did a 2 year combined EM Cardiology and Critical Care Fellowship. He had been at a clinic that day where he had complained of worsening GERD.
Dr. Smith's ECG Blog
NOVEMBER 1, 2022
The 50-something patient with history of coronary stenting and slightly reduced LV ejection fraction. This EKG was recorded as part of a standing order for critical care. In the setting of prior stenting and reduced left ventricular ejection fraction, would pursue a heart team revascularization approach Syntax score 28.5,
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
APRIL 8, 2016
This was stented. If there is polymorphic VT with a long QT on the baseline ECG, then generally we call that Torsades, but Non-Torsades Polymorphic VT can result from ischemia alone. I have read articles that say that patients without ischemia are at low risk of complications from hypokalemia, But it is not entirely without risk.
Dr. Smith's ECG Blog
MARCH 8, 2025
After stent deployment, we often see improvement in the ST-T within seconds or minutes. Here is the final angiogram following placement of a stent in the ostial RCA. 2:04 PM, post stent deployment You can see that even after complete restoration of flow, the ECG still looks terrible, V most of all. link] Jentzer, J. Kashou, A.
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