demand ischemiaSTD maximal V1-V4 due to Atrial fibrillation6 Min Read Steve SmithonAugust 17, 2022 Does this ST Depression Maximal in V3 Represent Posterior OMI? I saw this EKG when reading through the system: What do you think? This is what I wrote: ATRIAL FIBRILLATION WITH RAPID VENTRICULAR…
aVRdemand ischemiaST depression5 Min Read Steve SmithonSeptember 12, 2019 Chest pain, pelvic and abdominal pain, hypotension, and severe ischemia on the ECG An elderly male was lethargic at the nursing home and complained of some pelvic pain, but then also chest pain and abdominal pain. He…
atrial_fibrillationatrial_fibrillation with RVRaVRdemand ischemiaDiffuse ST DepressionOMIposterior leadsposterior reperfusion T-wavesposterior STEMI7 Min Read Pendell MeyersonMay 19, 2018 A middle aged man with ST depression and a narrow window of opportunity Written by Pendell Meyers I received a text at 18:13 of an ECG taken several minutes prior, with no clinical information and only the question…
Atrial Fibrillation RVR due to Secondary conditionatrial_fibrillation with RVRcardioversiondemand ischemiaLewis Leadsinus tachycardiatype II MI3 Min Read Steve SmithonAugust 9, 2017 Atrial fibrillation with RVR: use POCUS to assess volume; then sinus vs. SVT: use of Lewis leads An elderly man with a history of diabetes and HTN presented with lethargy and weakness, decreased urine output, and hypotension. There…
Adjunctive Anti-Ischemic TherapyBeta Adrenergic Blockadedemand ischemiaLVHpseudoinfarction4 Min Read Steve SmithonJanuary 15, 2014 ST Elevation and Positive Troponin. Is it STEMI? No. And it is not even ACS. A male in his 60s complained of constant chest pain for 12 hours. He has a h/o DM and HTN and has been off his meds, including…
aortic stenosisdemand ischemiaLVHtype II MIType II STEMI2 Min Read Steve SmithonOctober 4, 2010 Cardiac Arrest, acute ST elevation and depression superimposed on LVH, but NOT due to ACS This young male had ventricular fibrillation during a triathlon. He was resuscitated with chest compressions and defibrillation and 1 mg of…