tag:blogger.com,1999:blog-549949223388475481.post2644792241787365813..comments2024-03-26T22:42:04.176-05:00Comments on Dr. Smith's ECG Blog: ST Elevation and Positive Troponin. Is it STEMI? No. And it is not even ACS.Unknownnoreply@blogger.comBlogger6125tag:blogger.com,1999:blog-549949223388475481.post-36561953537486270972014-06-27T12:31:02.540-05:002014-06-27T12:31:02.540-05:00Both. III and aVL are 150 degrees from each other ...Both. III and aVL are 150 degrees from each other and so are always reciprocal. I know it's confusing. A hyperacute T-wave in III will show as an inverted T in aVL. A hyperacute T-wave in aVL will show as inversion in III. Whichever wall has the most voltage will predominate and the opposite (reciprocal) wall will mirror it.<br /><br />Steve SmithSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-8068746487508375212014-06-08T01:03:37.080-05:002014-06-08T01:03:37.080-05:00T wave inversion in lead 1& aVl due to LVH or ...T wave inversion in lead 1& aVl due to LVH or reciprocal?? Sheikh iliyashttps://www.blogger.com/profile/07205705977848528507noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-17605814225233378552014-02-06T10:12:08.602-06:002014-02-06T10:12:08.602-06:00I freely give aspirin to anyone who might even hav...I freely give aspirin to anyone who might even have a small chance of ACS, unless there is allergy. It is a very benign yet incredibly effective medication.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-55902193453101522702014-02-06T03:01:49.488-06:002014-02-06T03:01:49.488-06:00I'd like to know whether the patient was put o...I'd like to know whether the patient was put or not on an antiplatelet drug as aspirin. In my opinion it might have been the case because there was evidence of a prior MI.Anonymoushttps://www.blogger.com/profile/16480264226835719492noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-6181004425037236112014-01-16T07:14:28.287-06:002014-01-16T07:14:28.287-06:00that's strange because it works for me. They ...that's strange because it works for me. They did say in the algorithm that there needs to be at least 3 leads with ST elevation<br />Steve SmithSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-15681772037177292012014-01-15T14:19:33.403-06:002014-01-15T14:19:33.403-06:00I tryed the formula STE/R-S in the few exemples gi...I tryed the formula STE/R-S in the few exemples given in the article of Armstrong "Electrocardiographic Criteria for ST-Elevation Myocardial Infarction in Patients With Left Ventricular Hypertrophy", and i haven't the same results, neither for the positives nor the negatives cases. <br /><br />Anonymoushttps://www.blogger.com/profile/02816613007431442111noreply@blogger.com