ICU STEMI Ultrasound 
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. Cardiac Ultrasound may be a surprisingly easy way to help make the diagnosis Answer: pulmonary embolism. What is the Diagnosis?
Dr. Smith's ECG Blog
APRIL 20, 2018
Given her risk factors (HTN, HLD, ESRD from diabetes) I decided to obtain a broad cardiac workup for the patient: serial ECGs, labs, serial troponins, CXR and bedside cardiac ultrasound. Ultrasounds can be very helpful in guiding your diagnostic pathway: location of WMA on US led to obtaining posterior leads.
Dr. Smith's ECG Blog
JANUARY 6, 2023
Immediate and early percutaneous coronary intervention in very high-risk and high-risk Non-STEMI patients. Smith comment: Point of Care ultrasound is not adequate to rule out wall motion abnormality; moreover, diffuse subendocardial ischemia often has no wall motion abnormality because the epicardium is still contracting. mg/dL, K 3.5
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? Beware a negative Bedside ultrasound. Pericarditis?
Dr. Smith's ECG Blog
SEPTEMBER 29, 2018
His ED cardiac ultrasound (which is not at all ideal for detecting wall motion abnormalities, and is also very operator dependent for this finding) was significant for depressed global EF. Fortunately, he was extubated several days later in the ICU with intact baseline mental status and was discharged shortly thereafter to subacute rehab.
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