Dr. Smith's ECG Blog

JANUARY 19, 2025

male presents to the stabilization room by EMS with initial concern for possible stroke. EMS called who noted right sided deficits and altered mental status who activated a prehospital stroke code. Detected on EKG to have evidence of an inferior posterior STEMI. This has been similar in the MICU as well.

MICU 52

MICU ICU CAD STEMI 52

EMS 12-Lead

AUGUST 14, 2022

EMS personnel found him seated on a bench, uncomfortable, but without gross distress. MICU transport was unremarkable. A third, and final, EMS 12 Lead ECG was recorded: The precordial ST segments (even Leads I/aVL, as well) have reverted to a dramatically depressed state. it has been subsequently deemed a STEMI-equivalent.

MICU 130

MICU STEMI CAD Coronary 130

Core EM

NOVEMBER 30, 2024

The Case An 88-year-old woman with a history of dementia, major depressive disorder, and hyperlipidemia presented to the ED via EMS after a near syncopal episode. EKG is concerning for acute STEMI with STE in lead I and aVL with reciprocal changes. The patient is also hypotensive and hypoxic, concerning for cardiogenic shock.

Coronary 130

Coronary STEMI MICU ACS 130