CAD CPR ED 
Dr. Smith's ECG Blog
MAY 19, 2020
ECMO Flow was achieved after approximately 1 hour of high quality CPR. Diagnosis of MINOCA should be made according to the Fourth Universal Definition of MI, in the absence of obstructive coronary artery disease (CAD) (no lesion ≥50%). For clarity — I’ll again show the initial ECG done in the ED in Figure-1. myocarditis).
Dr. Smith's ECG Blog
OCTOBER 10, 2022
He reportedly told his family "I think I'm having a heart attack", then they immediately drove him to the ED, and he was able to ambulate into the triage area before he collapsed and became unresponsive. CPR was initiated immediately. It was reportedly a PEA arrest; there was no recorded V Fib and no defibrillation.
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Dr. Smith's ECG Blog
SEPTEMBER 16, 2015
A middle-aged male with h/o CAD and stents presented with typical chest pressure. The patient arrived in the ED and had this ECG recorded: Interpretation? Here is his ECG: The resident was alarmed at the "ST elevation in III with reciprocal ST depression in aVL" Are you alarmed? This is a very common misread.
Dr. Smith's ECG Blog
AUGUST 9, 2019
Smith and Meyers answer: First , LM occlusion is uncommon in the ED because most of these die before they can get a 12-lead recorded. Beware crescendo angina in patient with known CAD ST Elevation in aVR Case 7. TIMI flow 0) is rare in the ED, as most either die before arrival or are recognized clinically due to cardiogenic shock.
Dr. Smith's ECG Blog
APRIL 8, 2016
He had significant history of CAD with CABG x5, and repeat CABG x 2 as well as a subsequent PCI of the graft to the RCA (twice) and of the graft to the Diagonal. Here is his ED ECG: There is obvious infero-posterior STEMI. A late middle-aged man presented with one hour of chest pain. Most recent echo showed EF of 60%.
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