Defibrillator Events STEMI 
Dr. Smith's ECG Blog
JUNE 27, 2024
A patient had a cardiac arrest with ventricular fibrillation and was successfully defibrillated. COACT: The COACT trial was fatally flawed, and because of it, many cardiologists are convinced that if there are no STEMI criteria, the patient does not need to go to the cath lab. Lemkes JS, Janssens GN, van der Hoeven NW, et al.
ECG & Echo Learning
JANUARY 18, 2023
STEMI , ST-segment elevation acute myocardial infarction ). 1 Initial diagnosis of STEMI ECG Management Recommendation Level of evidence A 12-lead ECG should be interpreted immediately (within 10 minutes) at first medical contact. I B ECG monitoring should start immediately and a defibrillator must be ready.
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Dr. Smith's ECG Blog
SEPTEMBER 3, 2023
He reports that this chest pain feels different than prior chest pain when he had his STEMI/OMI, but is unable to further describe chest pain. VF was refractory to amiodarone, lidocaine, double-sequential defibrillation, esmolol, etc. Sensitivity was 87% for OMI in our validation study (it was 34% for STEMI criteria).
Dr. Smith's ECG Blog
JANUARY 23, 2023
Back to the case: After the patient was roomed, he revealed that he had undergone several episodes of syncope in the last 24 hours with each event resulting in a shock during which his wife reported that he would immediately awaken. The most recent event had occurred just before being triaged.
Dr. Smith's ECG Blog
FEBRUARY 13, 2023
There’s inferior ST depression which is reciprocal to subtle lateral convex ST elevation, and the precordial T waves are subtly hyperacute – all concerning for STEMI(-)OMI of proximal LAD. There’s ST elevation I/aVL/V2 that meet STEMI criteria. This is obvious STEMI(+)OMI of proximal LAD. Non-STEMI or STEMI(-)OMI?
Dr. Smith's ECG Blog
NOVEMBER 30, 2022
She was defibrillated and resuscitated. Takotsubo is a sudden event, not one with crescendo angina. Even in patients whose moderate stenosis undergoes thrombosis, most angiograms show greater than 50% stenosis after the event. It is apparently fortunate that she had a cardiac arrest; otherwise, her ECG would have been ignored.
Dr. Smith's ECG Blog
DECEMBER 5, 2019
If there are any syncopal or presyncopal events, she should be evaluated immediately in the ED. --All This article is on Brugada in general, not just fever-induced: A score model to predict risk of events in patients with Brugada Syndrome Here is full text: [link] This was a single center cohort of 400 patients with Brugada syndrome.
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