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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.
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.
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.
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.
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.
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.
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.
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.
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.
Dr. Smiths Google Scholar Profile Dr. Smith Articles on PubMed This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Severe RVH with large RV on echo, not a PE "I have food poisoning" Article on STEMI vs. BER Why is there ST depression in aVL in this case of. International License. Pericarditis? .
65 y old male, hypt, IHD, smoker, central chest pain, was in pulm oedema Killip III Great recent article relevant to this: Kosuge M, Ebina T, Hibi K, et al. An early and simple predictor of severe left main and/or three-vessel disease in patients with non-ST-segment elevation acute coronary syndrome. Am J Cardiol;107(4):495-500.
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.
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.
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.
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.
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.
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.
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.
Dr. Smiths Google Scholar Profile Dr. Smith Articles on PubMed This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Abdominal Pain in a middle-aged patient New Review Article in Annals of Emergency Medicine. International License. Disclaimer Cases come from all over the world. Is it normal?
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.
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.
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.
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.
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.
Findings: The accelerated protocol did not significantly increase safe discharges (57.8% […] The post Rapid Acute Coronary Syndrome Evaluation Over One Hour With High-Sensitivity Cardiac Troponin I: A United States-Based Stepped-Wedge, Randomized Trial appeared first on EMOttawa Blog.
Dr. Smiths Google Scholar Profile Dr. Smith Articles on PubMed This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Is this acute coronary occlusion? International License. Disclaimer Cases come from all over the world. Patient identifiers have been redacted or patient consent has been obtained. What is your in.
Dr. Smiths Google Scholar Profile Dr. Smith Articles on PubMed This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 A 50-something with h/o coronary bypass has chest. International License. Disclaimer Cases come from all over the world. What is the cause of this patient's inferior ST de.
Dr. Smiths Google Scholar Profile Dr. Smith Articles on PubMed This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Acute coronary occlusion seen in paced *and* non-p. International License. Disclaimer Cases come from all over the world. Danika Atrial fib RVR case in text message and inb.
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.
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.
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.
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.
An 86-year-old man with a history of hypertension, hyperlipidemia, cardiomyopathy, and our-vessel coronary artery bypass five years prior presented to the emergency department (ED) with one hour of sudden-onset retrosternal, pressure-like chest pain radiating to the left arm. The ECG obtained in the ED is shown above.
Dr. Smiths Google Scholar Profile Dr. Smith Articles on PubMed This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Lecture: Acute Coronary Syndromes, Part (Overview. International License. Disclaimer Cases come from all over the world. Patient identifiers have been redacted or patient consent has been obtained.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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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