Defibrillator Ischemia Stent 
Dr. Smith's ECG Blog
OCTOBER 28, 2013
She was found to be in ventricular fibrillation and was defibrillated 8 times without a single, even transient, conversion out of fibrillation. She was immediately intubated during continued compressions, then underwent a 9th defibrillation, which resulted in an organized rhythm at 42 minutes after initial arrest. It was stented.
Dr. Smith's ECG Blog
JUNE 19, 2023
The patient has also developed sinus bradycardia, which may result from right coronary artery ischemia to the SA node. During angiogram in the cath lab, the patient suffered two episodes of ventricular fibrillation for which he was successfully defibrillated. Two stents were placed with resultant TIMI 3 flow.
Dr. Smith's ECG Blog
OCTOBER 3, 2017
After the second defibrillation the patient had an organized rhythm: Bradycardic escape/agonal rhythm, with large ST deviations. This means that they occur shortly after onset of occlusion, but also may be the last remaining sign of ischemia after ST elevation resolves (after reperfusion). This is diagnostic of re-occlusion.
Dr. Smith's ECG Blog
AUGUST 17, 2019
It could at least say: "ST Elevation, consistent with normal variant," or "consistent with ischemia or normal variant," or "consistent with early repolarization." Some normal STE is not due to ischemia at all. 100% proximal LAD successfully stented. Defibrillated out of v fib in the cath lab. But it simply says "normal."
Dr. Smith's ECG Blog
SEPTEMBER 20, 2018
This ECG is all but diagnostic of subepicardial ischemia of the anterior, lateral, and inferior walls, most likely due to Occlusion MI (OMI), probably of the LAD. He was defibrillated immediately and had return of normal mental status. The LAD lesion was acute and required 3 stents to restore flow.
Dr. Smith's ECG Blog
APRIL 8, 2016
At cath, he immediately had incessant Torsades de Pointes requiring defibrillation 7 times and requiring placement of a transvenous pacer for overdrive pacing at a rate of 80. This was stented. The patient was intubated, given antiplatelet and antithrombotic therapy, 10 mEq of KCl IV was started, and sent to the cath lab.
Dr. Smith's ECG Blog
MARCH 25, 2025
There is low voltage in the precordium which always makes reading ischemia harder. In ACS, chest pain is the warning sign of ongoing ischemia. Smith : As Willy says, and as we've said many times before, morphine will resolve pain without resolving ischemia. ECG 1 What do you think? To me, this ECG is not diagnostic.
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