ALS Books STEMI 
Dr. Smith's ECG Blog
AUGUST 2, 2024
This was a machine read STEMI positive OMI. 118.007305) from Heitner et al. , The meaning of this quote is that at times, something as obvious as the dramatic anterior lead ST elevation that we see in today's tracing is not the result of an acute LAD STEMI. His ECG is shown below. Pretty obvious anterior current of injury.
EMS 12-Lead
APRIL 2, 2022
Figure 1-1 My colleague, a faithful student of ECG interpretation, handed me the tracing and said that it warranted STEMI activation because of apparent terminal QRS distortion (TQRSD) in V2. ASA 324mg was administered while a STEMI activation was simultaneously transmitted to the nearest PCI center. 4] Baranchuk, A, et al.
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Dr. Smith's ECG Blog
SEPTEMBER 7, 2024
Smith : there is some minimal ST elevation in V2-V6, but does not meet STEMI criteria. Transient STEMI has been studied and many of these patients will re-occlude in the middle of the night. Lemkes et al. Is it normal STE? The computer thinks so, and the physician thinks that is quite possible. This is a "Transient OMI".
Dr. Smith's ECG Blog
DECEMBER 29, 2015
The criteria of Armstrong et al. would require the ST/S ratio to be 25% for diagnosis of STEMI in LVH. The physician was concerned about STEMI, but also worried that she was overreacting, with the potential that LVH was producing a "STEMI-mimic." Can you diagnose an ACO (STEMI) when you also have LVH?
ACEP Now
JULY 6, 2023
4 Formerly, chest pain patients without an S-T Elevation Acute Myocardial Infarction (STEMI), whose pain was suspected to be cardiac in nature, became inpatients for sequential monitoring of their lactate dehydrogenase and creatine kinase isozyme profiles. Gulati M, et al. Stiell IG, et al. Stiell IG, et al. Postgrad Med.
Dr. Smith's ECG Blog
SEPTEMBER 17, 2023
Troponin T peaked at 2074 ng/L (very high, typical of OMI/STEMI). Here is an example of isolated RV infarction, from Dr. Smith's book : Learning points: 1) OMI can be very subtle and RV infarction may manifest poorly on the standard ECG. Post PCI the patient became gravely hypotensive and "shocky". The LV EF was 57% at formal echo.
Dr. Smith's ECG Blog
APRIL 22, 2022
The HEART and EDACS scores are helpful to risk stratify patients with chest pain, but they hinge on accurate ECG interpretation: a low score doesn’t apply if the ECG shows STEMI(+)OMI, and shouldn’t be used for STEMI(-)OMI or OMI reperfusion either 2. Backus BE, Six AJ, Kelder JC, et al. Moumneh T, Sun BC, Baecker A, et al.
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