Saturday, August 24, 2013

K. Wang Video: Aortic Dissection? STEMI? Both? (5 minute video)

This is a fine short summary of the topic.

One disclaimer: At the end of the talk, K. states that ST segment depression in lead I in inferior STEMI indicates right ventricular MI.  I have data that would refute that claim.

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5 comments:

  1. UnknownAugust 29, 2013 at 3:01 PM

    Hi! Is there a problem with the video? I can´t get watch it.

    ReplyDelete
    Replies
    1. Steve SmithAugust 29, 2013 at 4:31 PM

      It works fine for me on Mozilla.

      Delete
    2. UnknownAugust 29, 2013 at 8:56 PM

      I was using Chrome, but wasn´t working. I changed to Explorer, and worked. Thanks!

      Delete
  2. ELAugust 29, 2013 at 7:38 PM

    Steve why do you refute the ST depression in lead I indicates proximal RCA/RV MI? I though this was part of your classic teaching on identifying the likely culprit vessel in inferior MI???

    ReplyDelete
    Replies
    1. Steve SmithAugust 29, 2013 at 7:46 PM

      El,

      ST depression in lead I has some value in differentiating between the RCA and circumflex as the culprit artery in inferior STEMI. However, ST depression in lead I in inferior MI says nothing about presence or absence of RV MI. In our series of 160 inferior STEMI it had no diagnostic value for RV MI. It is V1 that is crucial for diagnosis of RV MI in the presence of inferior STEMI.

      Steve

      Delete

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