Dr. Smith's ECG Blog

Instructive ECGs in Emergency Medicine Clinical Content

Associate Editors:
— Pendell Meyers & Ken Grauer (2018)
— Jesse McLaren & Emre Aslanger (2022)
— Willy Frick (2024) — Sam Ghali (2025)

editors

New ACC poster: many STEMI patients present with subtle ST elevation.

New ACC poster: many STEMI patients present with subtle ST elevation. Their prognosis is similar to those who meet STEMI “criteria”. They need early reperfusion.

However, this study could have missed many occlusions because they only studied patients who did get immediate primary PCI.  They did not study the NonSTEMI patients who were later found to have limited coronary flow and might have benefited from immediate reperfusion.

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The ECG told the whole story, but no one listened: ECG interpretation skills are critical to patient outcomes.

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A Non STEMI that needs the cath lab now.