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Anteroseptal OMI? Accurate ECG interpretation is essential to correctly interpreting the angiogram.

Dr. Smith's ECG Blog

His first ECG is shown: ECG 1 Obvious STEMI (+) OMI. Because of the obvious presentation and STEMI (+) ECG, the patient was immediately taken to cath lab. Echocardiogram showed mild inferior hypokinesis with overall preserved LVEF, 60%. There is inferior STEMI. He was brought in by EMS. should be LAD, right?

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Sometimes a patient is fortunate to have a cardiac arrest

Dr. Smith's ECG Blog

Unfortunately, the ECG was interpreted as no significant change from prior , "no STEMI"!! Approximately 5 minutes after ROSC, this ECG was obtained (about 45 minutes after arrival): Obvious anterolateral OMI, and STEMI criteria positive for those who care or need it. He was sent back to the waiting room, where he suffered a VF arrest.

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Acute Dyspnea in a Dialysis Patient. K is 6.3 mEq/L. Are ECG findings due to hyperkalemia, or even due to Type 2 MI?

Dr. Smith's ECG Blog

In this study of consecutive patients with LBBB who were hospitalized and had an echocardiogram, a QRS duration less than 170 ms (n = 262), vs. greater than 170 ms (n = 38), was associated with a significantly better ejection fraction (36% vs. 24%). This is extremely elevated for a type 2 MI and totally consistent with STEMI.

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repost this one as QRS distortion

Dr. Smith's ECG Blog

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. Inferior STEMI with AV Block, Cardiogenic Shock an. The QRS proves it. Posted by Steve Smith at 6:29 AM Email This BlogThis! Patient dies. Atrial Fib with RVR.

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

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 delay between OMI and STEMI claims yet another. Brugada with superimposed anterior STEMI Chest pain. Cardiologist declines taking patient to the cath lab.

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

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. Smith’s ECG Blog and EMCrit Pendell Meyers, MD Scott Weingart, MD, FCCM Stephen S. Five Primary Patterns of Ischemic ST depression, without ST elevation. Patient dies. .

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Dr. Smith's ECG Blog - Untitled Article

Dr. Smith's ECG Blog

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. Updated 1 hour lecture: The False STEMI-NonSTEMI D. Smith’s ECG Blog and EMCrit Pendell Meyers, MD Scott Weingart, MD, FCCM Stephen S. Patient dies.

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