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GHATI: Tracking QI Metrics Show Promise For Improving STEMI Care in LMIC

American College of Cardiology

Implementing and tracking quality improvement (QI) metrics may lead to improved outcomes in patient care after STEMI in low- and middle-income countries (LMIC), according to an analysis of data from the ACC's Global Heart Attack Treatment Initiative (GHATI).

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New Research Shows Potential of GHATI to Improve STEMI Care in Low-, Middle-Income Countries

American College of Cardiology

STEMI remains a major cause of morbidity, mortality, disability, and high health care costs in Latin America and the rest of the world. New data assessing the impact of ACC's Global Heart Attack Initiative (GHATI) on patient care outcomes at the CEDIMAT Cardiovascular Center in Santo Domingo, Dominican Republic.

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SCAI Publishes Expert Consensus Statement on Managing Patients with STEMI

DAIC

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.

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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

But in actual practice, similar patients are routinely missed and under-treated, as you will see as this case progresses. mm in just one lead V7-9), but as far as I can tell all of these documents specifically avoid calling this condition STEMI and specifically avoid using any terminology similar to "STEMI equivalent."

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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. 4,5] We have now formally studied this question: Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review.[6]

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Slightly Peaked T-waves. What is it?

Dr. Smith's ECG Blog

The possibility of anterior STEMI was not noticed during patient care. Therefore, she underwent angiography and had a 95% LAD thrombotic culprit that, fortunately, had reperfused on its own (that's why the troponin was only 12). It was stented. I noticed it much later on looking through a random stack of EKGs.

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

Dr. Smith's ECG Blog

The paramedics found the patient with ROSC and a GCS 7, and an ECG showing LBBB with possible lateral ST elevation. The patient was brought to the ED as a possible Code STEMI and was seen directly by cardiology. On arrival, GCS was 13 and the patient complained of ongoing chest pain. Learning points 1.