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Time is Brain

Peter Canning

Instead of floating a wire into the heart to remove a clock in a blocked coronary artery to restore blood flow, we were floating wires into people’s brains to remove the clot obstructing blood flow –a life-saving procedure. Only after I had read the article the second time did I notice it had been published in 2013.

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repost this one as QRS distortion

Dr. Smith's ECG Blog

Dr. Smiths Google Scholar Profile Dr. Smith Articles on PubMed This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Smith is a faculty physician in the Emergency Medicine Residency at Hennepin County Medical Center (HCMC) in Minneapolis, MN, and Professor of Emergency Medicine at the University of Minnesota.

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RBBB with new LAFB and acute pulmonary edema

Dr. Smith's ECG Blog

See this case in which the ECG which was recorded after stabilization is diagnostic: ST depression, pulmonary edema, and severe hypertension: is this demand ischemia or acute coronary syndrome? Co-culprit is a 85% bifurcating lesion of the large LADD1 related to above LAD lesion This is an important article by Widimsky et al.

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ECG Pointers: Pain Free but Not Worry Free

EMDocs

His story was concerning for acute coronary syndrome, so he was admitted to the hospital. Of those 10 that were cath’ed, 9 had significant coronary artery disease and all 9 had significant (>90%) stenosis of the LAD. ECG A was obtained upon arrival to the ER from a 45-year-old male with exertional chest pain. Am Heart J.

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A 70 something female with chest pain (KG- done)

Dr. Smith's ECG Blog

We proved this in this article. The T wave changes that have occurred are widespread, and not in a typical coronary distribution. Each time the patient underwent cardiac catheterization — and each time, she had patent coronary arteries! Note also the loss of R wave amplitude in ECG #2 compared to ECG #1.

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Interns are not (yet) poisoned by the STEMI/NSTEMI paradigm

Dr. Smith's ECG Blog

Coronary angiography before and after intervention is shown below. According to a circulation review article , South Asians are at a higher rate of ASCVD, higher burden with higher. New PMcardio for Individuals App 3.0 now includes the latest Queen of Hearts model and AI explainability (blue heatmaps)! Download now for iOS or Android.

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Pendell's BER case

Dr. Smith's ECG Blog

Without seeing the patient, my interpretation of the first ECG was: likely normal variant ST-elevation (early repolarization), with a small possibility of pericarditis, and almost no possibility of acute coronary occlusion (STEMI). There does not seem to be good evidence to answer this question, unfortunately.

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