tag:blogger.com,1999:blog-549949223388475481.post6146850008752767713..comments2024-03-26T22:42:04.176-05:00Comments on Dr. Smith's ECG Blog: Do you recognize these ECGs? STEMI? LVH? What?Unknownnoreply@blogger.comBlogger6125tag:blogger.com,1999:blog-549949223388475481.post-25972390638233606532019-06-21T21:31:49.668-05:002019-06-21T21:31:49.668-05:00There is enormous cultural/geographic/generic dive...There is enormous cultural/geographic/generic diversity among the people living in the African continent. The likelihood of manifesting such ECG patterns likely has far more to do with geographic/genetic origins than simply dark skin.<br />See recent data by Riding et al:<br />https://academic.oup.com/eurheartj/article-abstract/40/1/50/5086720?redirectedFrom=fulltextBrooks Walshhttps://www.blogger.com/profile/16108633682893762401noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-83120243965588465192019-06-21T13:34:10.368-05:002019-06-21T13:34:10.368-05:00Interesting question. Brief search of the internet...Interesting question. Brief search of the internet reveals a VERY interesting set of slides by Dr. Sanjay Sharma, who specializes in the area of assessing for sudden death risk in athletes. He studied a group of Afro- and Caribbean-origin blacks — GO TO — http://spo.escardio.org/eslides/view.aspx?eevtid=52&fp=258 — I found it worthwhile going through this series of slides! Unfortunately, I don't see breakdown between blacks of Afro- vs Caribbean origin — but I suppose there is similar prevalence of ECG (and underlying cardiac) changes .... And perhaps Brooks Walsh (primary author in the above article that Dr. Smith references) might know more on this (I am writing to ask Dr. Walsh for comment about your interesting question). My hunch is those with initial African origin (which should include both Afro & most Caribbean blacks) would manifest such changes — but simply "darker-skinned" individuals without initial origin out of Africa might not .... — but I have no data on this ...ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-86695320739646907412019-06-21T09:13:27.764-05:002019-06-21T09:13:27.764-05:00Good question, to which I do not know the answer!Good question, to which I do not know the answer!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-91959091838659716252019-06-21T07:59:04.062-05:002019-06-21T07:59:04.062-05:00Very interesting thank you. I'm guessing these...Very interesting thank you. I'm guessing these patterns are seen in males of African racial background. Are they found in other dark skinned ethnic groups? <br />Andrehttps://www.blogger.com/profile/12023282583120875793noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-87326918522028307072019-06-20T20:16:05.224-05:002019-06-20T20:16:05.224-05:00They can be!They can be!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-6555275285966868112019-06-20T07:25:20.946-05:002019-06-20T07:25:20.946-05:00Anterior TWI were preceded by J-point elevation an...Anterior TWI were preceded by J-point elevation and convex (domed) ST segment elevation. But, are these TWI in the lower territory normal?MVhttps://www.blogger.com/profile/14548861484207216775noreply@blogger.com