July 2011 - Dr. Smith’s ECG Blog

Home Archives for July 2011

2 Min Read

onJuly 31, 2011

Left Bundle Branch Block and Left Anterior Descending Artery occlusion: Serial ECGs then T-wave inversion after reperfusion

A 50 yo male presented with chest pain. This ECG was recorded at 0415. There is sinus tachycardia. There is left bundle branch…

2 Min Read

onJuly 14, 2011

Should we activate the cath lab if the STEMI is spontaneously reperfused?

Will be on vacation until August. Last post until then! I received a question yesterday: “If spontaneous reperfusion (or…

4 Min Read

onJuly 10, 2011

Wait until after the ECG to give Nitroglycerine

Here is the ED ECG of a 58 yo male whose chest pain is resolved: There is sinus rhythm with a PAC (which has aberrant conduction…

3 Min Read

onJuly 5, 2011

Missed STEMI, spontaneously reperfused

Click here for other very instructive cases of missed STEMI. This is a 48 yo female with no risk factors for CAD had sudden onset of arm…