Dr. Smith's ECG Blog

SEPTEMBER 18, 2024

By Smith, peer-reviewed by Interventional Cardiologist Emre Aslanger Submitted by anonymous A 53 y.o. Compensatory enlargement was defined as being present when the total coronary arterial cross-sectional area at the stenotic site was greater than that at the proximal nonstenotic site. The pain radiated to both shoulders.

Coronary 115

Coronary ACS OR EMR 115

Dr. Smith's ECG Blog

JULY 31, 2020

Their OMI Manifesto details how use of standard STEMI criteria results in an unacceptable level of inaccuracy, in which an estimated 25-30% of acute coronary occlusions are missed! The finding of dynamic ST-T wave changes on serial tracings in association with a change in chest pain symptoms ( SEE My Comment in the July 21, 2020 post ).

STEMI 52

STEMI Coronary EMR ALS 52

Dr. Smith's ECG Blog

NOVEMBER 13, 2022

Written by Emre Aslanger. Emre is a new Editor of the Blog. Take home messages: Any coronary occlusion may present with vague symptoms, but when ECG is clear, there should not be any suspicion. PMID: 34523597. == MY Comment by K EN G RAUER, MD ( 11/13/2022 ): == Highly interesting case by Emre Aslanger. doi: 10.5543/tkda.2021.21026.

EMR 52

EMR Coronary OR STEMI 52