Dr. Smith's ECG Blog
JANUARY 31, 2025
This ECG pattern is my favorite example of how the STEMI criteria are fundamentally flawed. We have a series of 20 TIMI-0 LAD Occlusions that do meet STEMI criteria. 2020) If you are a regular reader of this blog this diagnosis will be easy for you, and you will manage this type of patient correctly with immediate revascularization.
Dr. Smith's ECG Blog
JANUARY 6, 2016
Some are STEMI-equivalents. Here are some basic concepts before we get into the ECGs: STEMI and NonSTEMI are arbitrary terms that may confuse the clinician. Inferior STEMI with AV Block, Cardiogenic Shock an. The QRS proves it. Posted by Steve Smith at 6:29 AM Email This BlogThis! Patient dies. Atrial Fib with RVR.
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Dr. Smith's ECG Blog
JUNE 17, 2020
A prehospital ECG showed ST Depression in V1-V3 and the medics were concerned for posterior STEMI. Charts showed a history of some mitral regurgitation and an enlarge left atrium, as well as hypertension treated with a thiazide diuretic. Pulse was 128 and irregular, BP was 141/75. We are told that this patient was hypokalemic ( serum K+ = 2.7
Dr. Smith's ECG Blog
JUNE 6, 2020
The differential is: 1) LAD occlusion proximal to the septal perforator with wraparound to inferior wall (that much STE in V1 is quite specific for septal involvement with anterior STEMI) vs. 2) Proximal RCA with RV involvement. Is it important to know whether this is LAD or RCA? Somewhat, but not hugely important.
Dr. Smith's ECG Blog
FEBRUARY 10, 2025
Peaked T waves: Hyperacute (STEMI) vs. Early Repolarizaton vs. Hyperkalemia Recognize subtle findings of hyperK and, if present, treat with Calcium immediately! Eur J Emerg Med 2020. References 1. Lindner et al. Acute hyperkalemia in the emergency department: a summary from a Kidney Disease: Improving Global Outcomes conference.
Dr. Smith's ECG Blog
NOVEMBER 27, 2014
Some are STEMI-equivalents. Here are some basic concepts before we get into the ECGs: STEMI and NonSTEMI are arbitrary terms that may confuse the clinician. hours of chest pain Chest Pain and Right Bundle Branch Block Is this acute STEMI? Is this inferor STEMI? Cardiologist declines taking patient to the cath lab.
Dr. Smith's ECG Blog
MAY 10, 2019
Some are STEMI-equivalents. Here are some basic concepts before we get into the ECGs: STEMI and NonSTEMI are arbitrary terms that may confuse the clinician. A Middle-Aged male with Chest Pain and an Unusual ECG Doctor, should we activate the hospital's "STEMI a. Cardiologist declines taking patient to the cath lab.
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