ICU STEMI Tachycardia 
Dr. Smith's ECG Blog
JUNE 17, 2024
for those of you who do not do Emergency Medicine, ECGs are handed to us without any clinical context) The ECG was read simply as "No STEMI." The patient was upgraded to the ICU for closer monitoring. and tachycardia, 1.8. Unfortunately, there was a long wait and the patient left before being seen by a provider.
Dr. Smith's ECG Blog
OCTOBER 25, 2023
ECG is consistent with severe hypokalemia and/or hypomagnesemia causing prolonged QT (QU) at high risk of Torsades (which is polymorphic ventricular tachycardia in the setting of a long QT interval). The patient was admitted to the ICU for close monitoring and electrolyte repletion and had an uneventful hospital course. Is it STEMI?
EMS 12-Lead
MAY 8, 2022
The attending crews were concerned for SVT with corresponding ischemic hyperacute T waves (HATW) and subsequently activated STEMI pre-hospital. 2] But there is also Sinus Tachycardia! Thankfully, the patient experienced an uncomplicated ICU stay and subsequently made a full recovery. The serum K returned 8.7,
Dr. Smith's ECG Blog
MAY 5, 2022
Despite the clinical context, Cardiology was consulted due to concerns for a "STEMI". After initiating treatment for hyperkalemia, repeat ECG showed resolution of Brugada pattern: The ECG shows sinus tachycardia. A Very Wide Complex Tachycardia. From Ken Grauer ( See below ) — with this Figure adapted from LITFL.
Dr. Smith's ECG Blog
MARCH 11, 2019
The patient was managed in the ICU and had serial troponins. In such cases, it is common for tachycardia to exaggerate the ST Elevation And, in fact, there was no new acute MI at this visit - troponins did not rise again. It is not yet available, but this is your way to get on the list. He had no more ECGs recorded. First was 2.9
Dr. Smith's ECG Blog
DECEMBER 13, 2019
in the ICU but survived with excellent function. normal variant, not pericarditis) A Young Man with Sharp Chest pain (normal variant, not pericarditis) 24 yo woman with chest pain: Is this STEMI? The team was notified and they ordered a stat aortagram which showed type A aortic dissection from the aortic valve to the iliacs.
Dr. Smith's ECG Blog
JULY 12, 2020
A CT was obtained later and showed appropriate positioning of the catheter: She was admitted to the ICU and the catheter was used several times to withdraw more fluid. One looks for sinus tachycardia and diffuse low voltage but many conditions produce these nonspecific findings. mm STE depression in aVL.
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