tag:blogger.com,1999:blog-549949223388475481.post4142090140578541239..comments2024-03-26T22:42:04.176-05:00Comments on Dr. Smith's ECG Blog: Marked ST depression refractory to maximal medical therapyUnknownnoreply@blogger.comBlogger4125tag:blogger.com,1999:blog-549949223388475481.post-54071571064102128932011-04-17T08:20:59.977-05:002011-04-17T08:20:59.977-05:00Yes, I posted the reference to that article in thi...Yes, I posted the reference to that article in this case discussion: http://hqmeded-ecg.blogspot.com/2011/04/st-elevation-in-avr-with-widespread-st.htmlSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-63829714180772711692011-04-17T03:27:34.589-05:002011-04-17T03:27:34.589-05:00Dr. Smith,
I read an article linking elevation in...Dr. Smith,<br /><br />I read an article linking elevation in aVR with STD in I, II, and V4-V6 is highly sensitive for three vessel disease or an occlusion of the LMCA. Almost all patients required CABG. It had 81% sensitivity, 80% specificity, and 81% accuracy.Troyhttps://www.blogger.com/profile/01227334538616584664noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-52204799577849489062011-04-14T22:31:52.944-05:002011-04-14T22:31:52.944-05:00They weren't quite as minor on the prehospital...They weren't quite as minor on the prehospital ECG, and one must remember that ST depression > 2 mm carries very high mortality. In the years before PCI, ST depression of at least 2 mm in at least 2 leads had a 30-day mortality of 35%, higher than that of untreated anterior STEMI!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-51102314215795698192011-04-14T17:44:18.091-05:002011-04-14T17:44:18.091-05:00Interesting that he had so much stenosis yet only ...Interesting that he had so much stenosis yet only relatively minor ECG changes!Christopherhttps://www.blogger.com/profile/11415988855392944633noreply@blogger.com