Dr. Smith's ECG Blog
SEPTEMBER 7, 2024
First troponin I returns at 48 ng/L ECG 5 143 min No significant change ECG 6 261 min Same hs Troponin I profile (peaked at 1849): Formal Echocardiogram SUMMARY The estimated left ventricular ejection fraction is 74 %. Eur Heart J 2018. Full text link. The estimated pulmonary artery systolic pressure is 27 mmHg + RA pressure. Am Heart J.
Dr. Smith's ECG Blog
MARCH 9, 2013
For those who depend on echocardiogram to confirm the ECG findings of ischemia, this should be sobering. A comparison of electrocardiographic changes during reperfusion of acute myocardial infarction by thrombolysis or percutaneous transluminal coronary angioplasty. The peak troponin I was 0.364 ng/ml. Wehrens X.H., Doevendans P.A.,
Dr. Smith's ECG Blog
DECEMBER 19, 2023
The commonest causes of MINOCA include: atherosclerotic causes such as plaque rupture or erosion with spontaneous thrombolysis, and non-atherosclerotic causes such as coronary vasospasm (sometimes called variant angina or Prinzmetal's angina), coronary embolism or thrombosis, possibly microvascular dysfunction.
Dr. Smith's ECG Blog
JUNE 18, 2013
On echocardiogram, there was a 40% ejection fraction with anterior wall motion abnormality. His ECG was repeated at this point: This shows a well developed anterior STEMI. The cath lab was activated and an LAD occlusion was opened. The peak troponin I was over 100. and R-wave amplitude in V4 of 3 mm, the result was = 24.5, the result is 23.9,
Dr. Smith's ECG Blog
NOVEMBER 4, 2022
This has been termed a “STEMI equivalent” and included in STEMI guidelines, suggesting this patient should receive dual anti-platelets, heparin and immediate cath lab activation–or thrombolysis in centres where cath lab is not available. See this case: what do you think the echocardiogram shows in this case?
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