Dr. Smith's ECG Blog
JANUARY 19, 2025
Detected on EKG to have evidence of an inferior posterior STEMI. This has been similar in the MICU as well. Inferior STEMI s/p DES with significant residual LM/left sided obstructive CAD : TnI 11,344 on admission, suggesting significant infarct prior to presentation. MICU team considering bicarb infusion.
EMS 12-Lead
AUGUST 14, 2022
MICU transport was unremarkable. link] deWinter first reported his unique characteristics of LAD occlusion in 2008, and since the respective ECG changes do not fit the conventional STEMI paradigm (as he even stated – “instead of signature ST-segment elevation” ….) it has been subsequently deemed a STEMI-equivalent.
Core EM
NOVEMBER 30, 2024
EKG is concerning for acute STEMI with STE in lead I and aVL with reciprocal changes. Initial management steps include dual antiplatelet therapy, heparin, and STEMI activation for emergent catheterization. Upon transfer to the MICU, she remained hypotensive and CXR revealed multifocal pneumonia. Burns, E., & Burns, R.
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