tag:blogger.com,1999:blog-549949223388475481.post2366857554375070677..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: A "normal ECG" on a busy nightUnknownnoreply@blogger.comBlogger4125tag:blogger.com,1999:blog-549949223388475481.post-32349021070660495762018-10-08T10:29:03.721-05:002018-10-08T10:29:03.721-05:00Maarten, thanks for the comment. You might be rig...Maarten, thanks for the comment. You might be right. But if that were true then the post reperfusion ECG would have smaller T-waves, and I don't think it does.<br />SteveSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-26940501386006108262018-10-08T08:03:01.535-05:002018-10-08T08:03:01.535-05:00In addition to the high lateral infarction which s...In addition to the high lateral infarction which should be recognizable to most skilled interpreters, I was a bit worried about the fat T waves in the first ecg - possible associated anterior wall ischemia? The angiogram still suggests to me that the distal LAD got at least some of its blood flow from LCX collaterals.<br /><br />Best regards <br />Maarten Van Hemelen <br />IM resident Maarten Van Hemelennoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-30161910737916071662018-10-06T09:10:51.361-05:002018-10-06T09:10:51.361-05:00F?/king obvious high-lateral STEMI with reciprocal...F?/king obvious high-lateral STEMI with reciprocal ST depression!!!<br /><br />I just gave a lecture about reciprocal addition of ST changes to make the OMI diagnosisNicolas Peschanskihttps://www.blogger.com/profile/07436778751052243538noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-58218465959547530172018-10-06T08:55:29.544-05:002018-10-06T08:55:29.544-05:00In case of NSTEMI,clinical positive, needed to be ...In case of NSTEMI,clinical positive, needed to be taken CKMB, CKMB mass with TnT.In UK standard ACS gives second troponin after 12 h even clinical negative patient. It is better then 1-3-6 h troponin. The best option is ECHO to see hypokinesis in borderline cases. Great case.Piotr Kosioreknoreply@blogger.com