Remove Laboratory Remove STEMI Remove Ultrasound
article thumbnail

Expert human ECG interpretation and/or the Queen of Hearts could have saved this patient's anterior wall

Dr. Smith's ECG Blog

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. Gallbladder ultrasound was negative for stones. Chest x-ray was normal.

Stent 133
article thumbnail

What can you find with continuous ST monitoring in the ED?

Dr. Smith's ECG Blog

Case continued A bedside cardiac ultrasound revealed grossly preserved left ventricular function, no appreciable wall motion abnormality, pericardial effusion, or obvious valvular abnormality. The terminal part of the T-wave is inverted in lead III, and reciprocally terminally upright in lead aVL.

article thumbnail

Chest Pain and Inferior ST Elevation.

Dr. Smith's ECG Blog

Department of Laboratory Medicine, Hennepin County Medical Center; Professor, University of Minnesota School of Medicine Stephen W. Exclusion criteria were age less than 18, SBP less than 100 mmHg, echocardiogram with EF less than 50%, STEMI, pregnancy, and trauma. Apple, Ph.D.