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Does the literature support medications for stable, monomorphic ventricular tachycardia?

EMDocs

Long and Koyfman (3) wrote up an excellent review article looking at multiple trials trying to figure out what medication would be best (if any) for the treatment of stable monomorphic ventricular tachycardia. His initial EKG is the following: What do you think? So, we should always use procainamide, right?

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Time is Brain

Peter Canning

Would you believe that once upon a time in Connecticut, STEMIs were brought to the closest hospital regardless of capability.” They were still brought to the closest hospital rather than a thrombectomy capable hospital and I was saying this really should be changed like we changed the system for trauma and STEMIs. Again, true.

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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 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. The QRS proves it. Patient dies.

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The risk of myocardial rupture

Dr. Smith's ECG Blog

I reference that article in my book chapter on postinfarction pericarditis and myocardial rupture. See these two articles: This one shows an example ECG: [link] This one compared AMI patients with and without rupture. That is true (but incidence was only 3.4% More importantly, they did not look at the ECGs.

STEMI 52
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ECG Pointers: Pain Free but Not Worry Free

EMDocs

ECG B shows you some abnormal looking T waves that don’t meet STEMI criteria. Finally, ECG C shows an anterior STEMI! ” “Correct. V2 and V3 look biphasic. Now let me tell you about this patient. And in Type B you see broad, symmetric, inverted T waves, often seen in V1-V4.” Type B is more common than Type A.

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

Dr. Smith's ECG Blog

Now as an intern, he is exceptional at EKG interpretation because he was able to learn of the OMI paradigm and importance of pattern recognition before getting poisoned by years of learning STEMI. This is really a transient OMI (or transient STEMI if one uses that terminology and it has diagnostic ST Elevation). Do not Wait!!

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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). and therefore highly unlikely to be STEMI. Mostly the same findings and reasoning as the current ECG.

STEMI 52