Dysrhythmia Hospital STEMI 
Dr. Smith's ECG Blog
DECEMBER 26, 2020
His friend was able to get him into the truck and drive him to a nearby community hospital (non-PCI center). Is this inferor STEMI? Atrial Flutter with Inferior STEMI? The EM provider asked if the cardiologist thought it was a "STEMI." After intubation, vital signs were all within normal limits.
Dr. Smith's ECG Blog
JUNE 20, 2020
The medics were worried about STEMI, as it meets STEMI criteria. He was admitted for monitoring, as his risk of a ventricular dysrhythmia as cause of the syncope is high ( very high due to HFrEF and ischemic cardiomyopathy ). The troponins are NOT consistent with STEMI (OMI), which typically has a troponin I of at least 5 ng/mL.
Dr. Smith's ECG Blog
JUNE 14, 2017
This case was sent by Dr Avinash Krishnamurthy, a fine emergency medicine resident from Australia Cairns base hospital Case : An adolescent male had a mechanical fall and injured his left shoulder and arm. Is there STEMI? There was apparently no syncope and he had no bony injuries, but he did complain of left sided chest pain.
Dr. Smith's ECG Blog
JULY 31, 2018
Post by Smith, with short article by Angie Lobo ( [link] ), a third year intermal medicine resident at Abbott Northwestern Hospital Case A 30-something woman with no past history, who is very fit and athletic, presented with 1.5 It is equivalent to a transient STEMI. hours of substernal chest pressure. She had zero CAD risk factors.
Dr. Smith's ECG Blog
NOVEMBER 30, 2019
Hospital admission had been recommended, but she left that ED against medical advice. to greatly decrease risk (although in STEMI, the optimal level is about 4.0-4.5 There is some ST depression and peaked T-waves. mEq/L and a creatinine 1.5 At that discharge, she was prescribed KCl 40 mEq tabs to take 3 times daily.
Dr. Smith's ECG Blog
NOVEMBER 19, 2016
Clinical Course The paramedic activated a “Code STEMI” alert and transported the patient nearly 50 miles to the closest tertiary medical center. Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). What do you see?
Dr. Smith's ECG Blog
APRIL 8, 2016
Here is his ED ECG: There is obvious infero-posterior STEMI. What are you worried about in addition to his STEMI? Comments: STEMI with hypokalemia, especially with a long QT, puts the patient at very high risk of Torsades or Ventricular fibrillation (see many references, with abstracts, below). There is atrial fibrillation.
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