tag:blogger.com,1999:blog-549949223388475481.post372106913116532584..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Classic Evolution of Wellens' T-waves over 26 hoursUnknownnoreply@blogger.comBlogger8125tag:blogger.com,1999:blog-549949223388475481.post-67988720984613026292017-02-01T11:50:04.641-06:002017-02-01T11:50:04.641-06:00the problem is a "hot" ulcerated plaque....the problem is a "hot" ulcerated plaque. Beta blockers won't help that. Antiplatelet and antithrombotic agents.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-31373630348118503462017-01-27T18:32:44.772-06:002017-01-27T18:32:44.772-06:00Very interesting and informative serial ECGs, I al...Very interesting and informative serial ECGs, I also found that the prolonged QTc due to widened and deepened T wave, So Can we use beta blocker agents to treat the ischemia, sir? Are beta blocker agents contraindicated in this situation because it can make the QTc prolong, sir?Nguyen Chí Tínhhttps://www.blogger.com/profile/10755092672681857950noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-42270166670361993162016-05-12T11:05:43.262-05:002016-05-12T11:05:43.262-05:00Thx for serial ECG!
It should be taught for patien...Thx for serial ECG!<br />It should be taught for patients in all university! :-) <br />Lancelot (from Hungary) Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-63882424974995440342016-05-09T08:26:40.293-05:002016-05-09T08:26:40.293-05:00You are absolutely right. In fact, all the precor...You are absolutely right. In fact, all the precordial leads suggest subtle LAD occlusion, or resolving LAD occlusion. There is ST elevation with reverse R-wave progression in addition to subtle STD in V5, V6.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-48122633140395187182016-05-09T07:46:19.369-05:002016-05-09T07:46:19.369-05:00of course in T0 (1st. ecg)
Lancelotof course in T0 (1st. ecg) <br />LancelotAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-58318025462094585282016-05-09T07:42:39.445-05:002016-05-09T07:42:39.445-05:00Is the STD in V5-V6 unremarkable?
And the near iso...Is the STD in V5-V6 unremarkable?<br />And the near isoelectric T-wave? <br />LancelotAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-82234370748830056522011-03-21T13:00:13.112-05:002011-03-21T13:00:13.112-05:00You're paying attention. In fact, in my exper...You're paying attention. In fact, in my experience (though I know of no studies addressing this), the QT is prolonged in Wellens'. This is one way to differentiate it from benign T wave inversion (BTWI), which usually has a QTc < 400-425 (as do most forms of early repolarization). I will post an example of BTWI soon. In this series, the computerized QTc's were, respectively: 429, 419, 438, 428, 476, 520, 511.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-60970550615355809642011-03-20T20:06:34.010-05:002011-03-20T20:06:34.010-05:00Hi Dr. Smith...
thank you again for the fascinatin...Hi Dr. Smith...<br />thank you again for the fascinating post...<br />during this evolution, there appears to also be a progressive lengthening of the QTc, presumably due to the widened and deepened T waves... is a lengthening QTc a consistent finding with developing Wellens'?David Bnoreply@blogger.com