Dr. Smith's ECG Blog

JANUARY 30, 2019

A formal echocardiogram was completed the next day and again showed a normal ejection fraction without any focal wall motion abnormalities to suggest CAD. Our patient had a Brugada Type 1 pattern elicited by an elevated core temperature, which is also a documented phenomenon. The article is edited by Smith. F (rectal).

E-9-1-1 52

E-9-1-1 CAD STEMI OR 52

Dr. Smith's ECG Blog

MARCH 19, 2023

Concerning history, known CAD" Recorded 2 hours after pain onset: What do you think? To realize — Assessment of ECG #1 is complicated by knowing: i ) That today’s patient has a history of documented CAD ; and , ii ) The lack o f a prior tracing for comparison at the time the initial ECG was interpreted.

STEMI 52

STEMI Coronary CAD OR 52

Dr. Smith's ECG Blog

JULY 3, 2018

Submitted and written by Alex Bracey with edits by Pendell Meyers and Steve Smith Case A 50ish year old man with a history of CAD w/ prior LAD MI s/p LAD stenting presented to the ED with chest pain similar to his prior MI, but worse. The pain initially started the day prior to presentation. The ejection fraction was 54% at that time.

ACS 52

ACS STEMI Coronary CAD 52

ACEP Now

APRIL 4, 2024

This patient had known coronary artery disease (CAD), and previously required drug eluting stents to the obtuse marginal and diagonal arteries. However, the patient had known dextrocardia based on documented medical history and was confirmed with a recent chest x-ray. 1 It has a prevalence of 0.01

Coronary 40

Coronary STEMI CAD Emergency Department 40

Dr. Smith's ECG Blog

JANUARY 31, 2020

Not immediately, at least, because this is NOT diagnostic of ACUTE (occlusion) myocardial infarction (Acute OMI). We need to do some more investigation. Although diagnostic of MI, it is highly suspicious for " Old inferior MI with persistent ST Elevation" or "inferior aneurysm morphology" because of the well-formed Q-waves and the flat T-waves.

ED 52

ED Coronary ACS CAD 52

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. Document in the patient's chart that rapid infusion is intentional in response to life-threatening hypokalemia." A late middle-aged man presented with one hour of chest pain.

STEMI 52

STEMI Plasma Defibrillator OR 52

ECG & Echo Learning

JANUARY 18, 2023

I C Blood samples Management Recommendation Level of evidence Serum biomarkers of myocardial infarction ( troponin ) should be sampled as early as possible without delaying reperfusion therapy. I C Symptom relief Symptom Management Recommendation Level of evidence Hypoxia Oxygen is indicated if SaO2 < 90% or PaO2 < 60 mmHg.

STEMI 40

STEMI Coronary OR Defibrillator 40

ESO

NOVEMBER 5, 2024

Here are a few highlights of how this new functionality can support your care delivery: Specific Workflows for Critical Care Documentation Documenting patient information in fast-paced situations, as well as long-term and complex transports, can be time-consuming.

Critical Care 59

Critical Care CAD OR EMS 59

Dr. Smith's ECG Blog

DECEMBER 31, 2024

The note documents that the first view of the LCX showed 99%, TIMI 2 flow, but then (before intervention) was seen to fully occlude in real time (100%, TIMI 0). The procedure was described as very complex due to severe multivessel CAD, but ultimately PCI was successfully performed to the ostial LCX. Pre-intervention.

Coronary 118

Coronary ACS STEMI CAD 118

ESO

FEBRUARY 21, 2025

What began as a set of necessary features and functionality to support documentation requirements is now evolving to technology for the full patient care journey. Emergency service technology, across all markets and needs, is making a long-awaited shift. These updates come following the acquisition of Logis Dispatch and Billing solutions.

Mobile Integrated Health 59

Mobile Integrated Health Community Paramedicine MIH Critical Care 59

Dr. Smith's ECG Blog

JANUARY 15, 2025

Case A 68 year old man with a medical history of hypertension, hyperlipidemia, and CAD with stent deployment in the RCA presented to the emergency department with chest pain. He looked back in time in the patient's chart and saw these ECGs and immediately recognized that they manifested subtle OMI. He had an EKG recorded right away.

Coronary 67

Coronary ED CAD Paramedic 67