Heart attacks STEMI Ultrasound 
Dr. Smith's ECG Blog
MAY 13, 2024
He noted that his father died from a heart attack in his early 50s prompting his presentation to the emergency department. This ECG is highly concerning for LAD occlusion despite it not showing a STEMI criteria. On our ultrasound machine, the TEX, normal strain is considered -18 % and higher (more negative).
Dr. Smith's ECG Blog
AUGUST 9, 2024
He reported a history of “Wolf-Parkinson-White” and “heart attack” but said neither had been treated. The receiving emergency physician consulted with interventional cardiology who stated there was no STEMI. Is there STEMI? These diagnoses were not found in his medical records nor even a baseline ECG. What is the rhythm?
Dr. Smith's ECG Blog
OCTOBER 10, 2022
He reportedly told his family "I think I'm having a heart attack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive. Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis Answer: pulmonary embolism. This is a quiz.
Dr. Smith's ECG Blog
JANUARY 9, 2023
50% of LAD STEMIs do not have reciprocal findings in inferior leads, and many LAD OMIs instead have STE and/or HATWs in inferior leads instead. The ECG easily meets STEMI criteria in all leads V2-V6, as well. 24 yo woman with chest pain: Is this STEMI? Beware a negative Bedside ultrasound. Pericarditis?
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