Dr. Smith's ECG Blog

AUGUST 9, 2024

He reported a history of “Wolf-Parkinson-White” and “heart attack” but said neither had been treated. The receiving emergency physician consulted with interventional cardiology who stated there was no STEMI. Is there STEMI? These diagnoses were not found in his medical records nor even a baseline ECG. Leave it alone.

STEMI 84

STEMI Coronary Heart Attack ACS 84

Dr. Smith's ECG Blog

MAY 13, 2024

He noted that his father died from a heart attack in his early 50s prompting his presentation to the emergency department. This ECG is highly concerning for LAD occlusion despite it not showing a STEMI criteria. Here is the initial ECG at 13:17 with no prior ECG in the patient’s chart for comparison: What do you think?

OR 108

OR STEMI Heart Attack Coronary 108

Dr. Smith's ECG Blog

MARCH 2, 2009

male presents because he "thought he might be having a heart attack." First, this patient had a known stent in the "marginal" artery and thought he was having a heart attack. By definition, this is a non-STEMI because there is not 1 mm of ST elevation in 2 consecutive leads. How can you make the diagnosis?

Heart Attack 52

Heart Attack OR STEMI Coronary 52