Dr. Smith's ECG Blog

DECEMBER 19, 2023

The commonest causes of MINOCA include: atherosclerotic causes such as plaque rupture or erosion with spontaneous thrombolysis, and non-atherosclerotic causes such as coronary vasospasm (sometimes called variant angina or Prinzmetal's angina), coronary embolism or thrombosis, possibly microvascular dysfunction.

Plaque 127

Plaque Angina Blog Stent 127

DAIC

APRIL 7, 2024

As with elevated LDL-cholesterol, high levels of triglycerides and the lipid particles on which they are carried in the blood can contribute to the formation of “plaques” in the arteries that impede blood flow and can lead to heart attacks and strokes. Triglycerides store unused calories and provide energy to the body.

Cholesterol 116

Cholesterol Heart Attack Heart attacks Myocardial Infarction 116

Dr. Smith's ECG Blog

APRIL 22, 2024

A comparison of electrocardiographic changes during reperfusion of acute myocardial infarction by thrombolysis or percutaneous transluminal coronary angioplasty. Angiography : --Culprit for the patient's unstable angina/Wellen syndrome is a ruptured plaque in the mid LAD. --As Am Heart J. 2000;139:430–436.

Chest Pain 118

Chest Pain Myocardial Infarction Anatomy Angina 118

Circulation

NOVEMBER 11, 2024

She was diagnosed with NSTEMI with a thrombolysis in myocardial infarction (TIMI) score of 5. Her EKG showed marked left-axis deviation, ST depressions in V2-V4, and RBBB. PCI, particularly with the Carlino technique, offers a reliable approach.

Coronary Artery Disease 40

Coronary Artery Disease Chest Pain Myocardial Infarction Thrombolysis 40

Dr. S. Venkatesan MD

JANUARY 14, 2024

It is generally believed it is more of a mechanical plaque lesion. RCA and LCX Wellens do occur, making this entity’s perceived unique importance less certain 3. How common is thrombosis in the culprit artery of Wellen syndrome ? However by no means, we can say thrombosis do not occur. Is there a benign face of Wellen syndrome ?

Anatomy 52

Anatomy Angina STEMI Thrombosis 52

Dr. Smith's ECG Blog

DECEMBER 14, 2022

Reperfusion of OMI indicates at least partial thrombolysis of occluding thrombus, but still unstable plaque rupture, which can reocclude at any moment. This case's first EMS ECG shows a rare example of LVH with active anterior and high lateral OMI. Comparison to prior ECG can be very helpful.

Chest Pain 52

Chest Pain STEMI Blog Stenosis 52

Dr. Smith's ECG Blog

NOVEMBER 4, 2022

This has been termed a “STEMI equivalent” and included in STEMI guidelines, suggesting this patient should receive dual anti-platelets, heparin and immediate cath lab activation–or thrombolysis in centres where cath lab is not available.

Ischemia 52

Ischemia STEMI Stenosis Chest Pain 52