Dr. Smith's ECG Blog
FEBRUARY 9, 2024
Posterior leads are unnecessary if anterior leads are diagnostic According to the STEMI paradigm an ECG has to have ST elevation to diagnose acute coronary occlusion, and if there’s no ST elevation on anterior leads you can look for it on posterior leads. Do you need posterior leads? If so, how will they change management?
DAIC
OCTOBER 7, 2024
7, 2024 — The Society for Cardiovascular Angiography & Interventions (SCAI) recently announced the publication of the Expert Consensus Statement on the Management of Patients with STEMI Referred for Primary PCI. tim.hodson Mon, 10/07/2024 - 14:45 Oct.
Dr. Smith's ECG Blog
OCTOBER 1, 2023
She knows the baseline is normal, and she knows the STEMI(-) OMI one is diagnostic of OMI, with the highest possible confidence. Here is the EM decision making: "The patient's EKG revealed some repolarization abnormalities but no clear signs of a STEMI. Back to the case: Unfortunately, the ECG was not understood by the provider.
Dr. Smith's ECG Blog
DECEMBER 29, 2015
would require the ST/S ratio to be 25% for diagnosis of STEMI in LVH. The physician was concerned about STEMI, but also worried that she was overreacting, with the potential that LVH was producing a "STEMI-mimic." Can you diagnose an ACO (STEMI) when you also have LVH? The criteria of Armstrong et al. References 1.
Dr. Smith's ECG Blog
AUGUST 26, 2009
He called 911 and paramedics recorded a prehospital 12 lead ECG which showed a clear inferior STEMI (not shown, tracing could not be found). Objectives : To find the incidence of any rSTD or T-wave inversion (TWI) in angiographically proven inferior STEMI. No true STEMI had absence of reciprocal depression in lead aVL.
Coronary Artery Disease Journal
DECEMBER 2, 2024
Standard baseline variables were collected for both groups, whereas for AMI patients, laboratory and psychological tests were also carried out. Among AMI patients, there was no difference in the rate of cortisol increase between STEMI and NSTEMI patients (time-group interaction P=0.841).
Dr. Smith's ECG Blog
OCTOBER 6, 2018
He wrote in his note that "The EKG showed early repolarization in I, V2-V3 but no clear STEMI pattern." As was the more reliable laboratory troponin T (0.00 See far below for data on 24 troponin T in STEMI and NSTEMI, and correlation with infarct size. Of the 418 patient with ACO, 29% did not meet “STEMI criteria.”
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