tag:blogger.com,1999:blog-549949223388475481.post3606457197821824242..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: All this teaching makes a difference! And a new paper on subtle ST Elevation.Unknownnoreply@blogger.comBlogger7125tag:blogger.com,1999:blog-549949223388475481.post-17343951789067218792015-01-05T08:13:01.668-06:002015-01-05T08:13:01.668-06:00Sam, this one has a lot of voltage. LVH is one of...Sam, this one has a lot of voltage. LVH is one of the conditions that results in inferior ST elevation with reciprocal ST depression in aVL. Others are LBBB, WPW, and LV aneurysm (which will have a very well developed Q-wave in III - this one can be very hard to distinguish from acute MI).<br />SteveSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-76225897709797248852015-01-04T20:35:25.284-06:002015-01-04T20:35:25.284-06:00Hello Dr Smith
Another great post - thank you for...Hello Dr Smith<br /><br />Another great post - thank you for your continued teaching!<br /><br />I had a case today that I was sure was a subtle inferior STEMI however hospital staff disagreed and queried a musculo-skeletal issue. This male, 79, has a major cardiac hx, including previous stents, angina, AAA etc. BP was about 110 systolic, other vitals stable. Relief with nitrates.<br /><br />What do you make of this ECG? (Was I right to query RCA/Cx occlusion?)<br /><br />https://www.dropbox.com/s/sdsgbrvg6e7u8qy/STE%20Inferior.jpg?dl=0<br /><br />Thank you very much.<br />SamAnonymoushttps://www.blogger.com/profile/07701669907673969552noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-85920340682154463412015-01-01T08:01:33.999-06:002015-01-01T08:01:33.999-06:00Slight ST elevation, reciprocal ST depression in a...Slight ST elevation, reciprocal ST depression in aVL, T-wave inversion in aVL, and T-waves that are too large in II, III, aVF. All together diagnostic of MI.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-18570117965840968872014-12-31T15:56:54.155-06:002014-12-31T15:56:54.155-06:00In the initial ekg what is concerning in the infer...In the initial ekg what is concerning in the inferior t waves? Is it that they appear hyper acute and about the same size as the qrs complex? <br />In the follow up ekg, the stemi is approx 1mm in the iii and avf?Lillyhttps://www.blogger.com/profile/03039927976082775986noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-90772346795847349102014-12-31T07:46:28.809-06:002014-12-31T07:46:28.809-06:00Sorry! Circ. I will put that in. Thanks for catc...Sorry! Circ. I will put that in. Thanks for catching the oversight!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-1464637914156804712014-12-31T03:25:28.028-06:002014-12-31T03:25:28.028-06:00"99% thrombotic stenosis culprit": where..."99% thrombotic stenosis culprit": where ? (academic: RCA or LCX stenosis ?)<br /><br />thanks dr Smith for your beautiful cases (2008-2014): again .. again !<br /><br />AlAlswissnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-50925842962742833982014-12-30T18:41:55.498-06:002014-12-30T18:41:55.498-06:00In such cases try to zoom in to 20 mm/mV and recor...In such cases try to zoom in to 20 mm/mV and record again.Alexey Rukinhttps://www.blogger.com/profile/10648952895362962043noreply@blogger.com