Dr. Smith's ECG Blog
JUNE 23, 2024
Given the presentation, the cardiologist stented the vessel and the patient returned to the ICU for ongoing critical care. (TIMI 3 means the rate of passage of dye through the coronary artery is normal by angiography.) Lesions less than 70% are generally considered to be non-flow limiting.
DAIC
APRIL 3, 2024
Featured topics will include in-depth sessions covering non-statin lipid lowering therapies, heart failure with preserved ejection fraction, viability, imaging modalities for the assessment of coronary artery disease, and antiplatelet therapy after coronary stenting. ACC has planned the following meetings and events throughout ACC.24,
Dr. Smith's ECG Blog
JULY 23, 2024
I took the patient to the critical care area and questioned him more on the way. It was opened and stented. I thought this was all but diagnostic, but still uncertain and I wanted to know what the Queen of Hearts thought: If the Queen says OMI with high confidence and I am worried, then I am VERY worried.
Dr. Smith's ECG Blog
SEPTEMBER 3, 2023
He has a h/o of 3 vessel disease and stents and his pain has been on and off for days. Then the patient would have been taken to the critical care area with a defibrillator at his side while waiting for the cath lab to be ready. This patient's pretest probability for OMI is extremely high. These are VERY high risk symptoms.
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
DECEMBER 23, 2022
I immediately activated the critical care team and walked the patient to the critical care area, our "Stabilization Room." Opened and stented. There are relatively large T-waves in V4-V6. The patient was otherwise healthy, had no past history, and had never had chest discomfort before. Let's record another one."
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.
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