Outpatient STEMI Tachycardia 
Dr. Smith's ECG Blog
SEPTEMBER 29, 2023
It's a very "fun" ECG, with initial ectopic atrial tachycardia (negative P waves in inferior leads conducting 1:1 with the QRSs), followed by spontaneous resolution to sinus rhythm. In the available view of the sinus rhythm, we see normal variant STE which probably meets STEMI criteria in V4 and V5. Triage ECG: What do you think?
Dr. Smith's ECG Blog
OCTOBER 10, 2022
Tachycardia , especially in association with rapid AFib — is notorious for producing transient ST elevation not due to acute infarction ( that often resolves once heart rate slows ). Tachycardia is of course, quite common in patients following cardiac arrest. He had multiple cardiac arrests with ROSC regained each time.
Dr. Smith's ECG Blog
NOVEMBER 12, 2020
9 However, because troponin is a clear marker of disease severity and a powerful independent predictor of adverse outcomes, it may be quite useful in the ED disposition decision: if troponin is elevated, then outpatient management should be reconsidered. 12 All STEMI patients had very high cTn typical of STEMI (cTnT > 1.0
Dr. Smith's ECG Blog
JULY 12, 2020
1 week later (about 1 week prior to the tamponade visit) she had a follow up outpatient visit and this ECG was recorded: Appears to show resolving findings. One looks for sinus tachycardia and diffuse low voltage but many conditions produce these nonspecific findings. mm STE depression in aVL.
Dr. S. Venkatesan MD
JANUARY 22, 2025
The fear comes built in with the diagnosis often amplified by young felllows on call (& often times by senior consultants as well) It may appear real, from a clinical angle, but trust, when we deal with the whole gamut of so-called ACS (other than STEMI), there is indeed a benign face in many of them.
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