Dr. Smith's ECG Blog
APRIL 8, 2016
He also had a history of chronic kidney disease, stage III. Angio had shown some acute disease in the saphenous vein graft to the posterior descending artery off of the RCA. Here is his ED ECG: There is obvious infero-posterior STEMI. What are you worried about in addition to his STEMI? If the patient is at 1.8,
Dr. Smith's ECG Blog
SEPTEMBER 5, 2024
It has been estimated that in the aggregate, they occur at a rate of about 3 per 1000 patients with acute MI, and most of these events occur in patients with STEMI. A mong patients with STEMI, ventricular septal rupture is the most common and free wall rupture is the least common.
Circulation
NOVEMBER 11, 2024
Methods:STEMI patients who underwent coronary revascularization therapy and cardiac magnetic resonance (CMR) at about 4 days and 6 months between 2017 and 2023 were included. The relationship between salvage index and FSF was shown in figure1. The relationship between salvage index and myocardial blush grade was shown in figure 2.
Dr. Smith's ECG Blog
FEBRUARY 10, 2025
Peaked T waves: Hyperacute (STEMI) vs. Early Repolarizaton vs. Hyperkalemia Recognize subtle findings of hyperK and, if present, treat with Calcium immediately! Acute hyperkalemia in the emergency department: a summary from a Kidney Disease: Improving Global Outcomes conference. HyperKalemia with Cardiac Arrest. References 1.
Dr. Smith's ECG Blog
FEBRUARY 26, 2025
50% of LAD STEMI have Q-waves by one hour. Smith : In limb leads, the ST vector is towards lead II (STE lead II STE lead III, which is more likely with pericarditis than with STEMI). This correlates with potentially salvageable myocardium. See Raitt et al.: These findings together are more commonly seen with pericarditis.
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