Dr. Smith's ECG Blog

JUNE 17, 2017

It was stented. 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). I noticed it much later on looking through a random stack of EKGs.

Chest Pain 52

Chest Pain Myocardial Infarction STEMI Stents 52

Dr. Smith's ECG Blog

JUNE 11, 2021

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. So the RCA was stented.

Chest Pain 52

Chest Pain Cardiac Arrest Ischemia Cardiogenic Shock 52

Dr. Smith's ECG Blog

JANUARY 28, 2025

His first EKG is shown below, with a lead II rhythm strip: EKG 1, 1645 A provisder who is looking for STEMI would not see much in this EKG. I interpret this as manifesting active inferior OMI, although the patient's improving pain suggests at least some reperfusion. Patient has 4.5/10 10 chest pain. So he needs the cath lab.

Chest Pain 105

Chest Pain STEMI Hospital Blood Pressure 105