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Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?

Dr. Smith's ECG Blog

1-3] But these studies were very short duration and used cardiology interpretation of ECGs or emergent angiography rather than patient outcomes. Other signs of OMI that complement the ECG include new regional wall motion abnormalities and refractory ischemia References 1. Hughes KE , Lewis SM , Katz L , Jones J. Acad Emerg Med.

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LBBB: Using the (Smith) Modified Sgarbossa Criteria would have saved this man's life

Dr. Smith's ECG Blog

Accordingly, in the algorithm by Cai et al for patients with LBBB and ischemic symptoms ( See below ) — the first indication for PCI is clinical: patients with hemodynamic instability or acute heart failure. So there is now high pre-test probability + refractory ischemia + Modified Sgarbossa + dynamic ECG changes.

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American College of Cardiology ACC.24 Late-breaking Science and Guidelines Session Summary

DAIC

24 and find out what it all means for your patients. 24 and how those may impact clinical practice and patient care in this deep dive clinical trial session. ET Main Tent (Hall B1) This session offers more insights from key clinical trials presented at ACC.24 ET Murphy Ballroom 4 ACC.24

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Syncope and Block

EMS 12-Lead

Such findings would normally suggest primary ischemia with concomitant surveillance of coronary occlusion, but these ST/T changes might very well be secondary to the Escape mechanism at hand. The patient advised overall improvement with complete resolution of symptoms. Hospital transport was unremarkable.

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How much time are you willing to wait for OMI to become STEMI (if it ever does)?

Dr. Smith's ECG Blog

There is no ST depression in V6, II, III, or aVF, and no significant ST elevation in aVR, all confirming that the ST vector is not consistent with diffuse subendocardial ischemia, but rather a focal ST vector pointed at the posterior wall. There is sinus rhythm with normal QRS complex and ST depression in V2-V5, maximal in V3-V4.

STEMI 52
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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Evidence of acute ischemia (may be subtle) vii. ST segment and T wave abnormalities consistent with or possibly related to myocardial ischemia. Observations from the present study provide benchmark data for improving patient care and effectively utilizing healthcare resources. Left BBB vi. Pathologic Q-waves viii.

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AI machines are hot & hungry : Let us learn, teach, and train them in cardiology

Dr. S. Venkatesan MD

It is a long read, meant only for those who want to know the hidden intricacies in the concept of “Time window” in STEMI and its important Implication in patient care. [08/11, 08/11, 12:13] Dr S Venkatesan: Time windows are related to time taken for myocardial cell death because of ischemia.