CAD STEMI Webinar 
Dr. Smith's ECG Blog
NOVEMBER 22, 2023
20% of cases that everyone would call a STEMI have a competely open artery by the time of angiogram 60-90 minutes later. Here is the ECG at that point in time: The ischemia is mostly resolved. One would expect that the angiogram would show open arteries with normal TIMI-3 flow and culprit lesions.
Dr. Smith's ECG Blog
JUNE 18, 2013
So I went to look at the chart and here is the history: This patient with no h/o CAD had a couple of episodes of chest pain during the day, then presented with one hour of substernal chest pain that had some reproducibility but also improved from 10/10 to 5/10 with nitroglycerine. Smith and Meyers in the December 5, 2023 Webinar post).
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