tag:blogger.com,1999:blog-549949223388475481.post4481185299568334796..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Unstable Angina: Dr. Braunwald asks if it is time for a RequiemUnknownnoreply@blogger.comBlogger9125tag:blogger.com,1999:blog-549949223388475481.post-62529875708413714622015-06-08T12:46:57.900-05:002015-06-08T12:46:57.900-05:00I believe so, but I am not certainI believe so, but I am not certainSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-9404089515335018752015-06-04T18:12:57.383-05:002015-06-04T18:12:57.383-05:00Out of curiosity, do you know if this was "in...Out of curiosity, do you know if this was "in-stent re-stenosis", or was this a separate lesion from the stent/original LAD lesion?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-41674658550500993662014-12-22T17:05:43.377-06:002014-12-22T17:05:43.377-06:00That is true. If the troponins are elevated, but n...That is true. If the troponins are elevated, but not elevated as a result of the ACS, but there is symptomatic ACS, then it is unstable angina with positive troponins. Not very common.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-16024669483885455112014-12-22T13:22:46.050-06:002014-12-22T13:22:46.050-06:00I don´t believe you even have to be troponin negat...I don´t believe you even have to be troponin negative to have UA. I have seen a lot of patients with slightly elevated high sensitivity troponins, but without a rise and fall pattern (thereby not MI) who were diagnosed with UA.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-35112268185300325672014-09-17T11:21:05.554-05:002014-09-17T11:21:05.554-05:00The T-wave inversion is very nonspecific. It does...The T-wave inversion is very nonspecific. It does not look like Wellens'. Also, Wellens' is a syndrome, not an ECG finding: Typical Chest pain (crescendo angina) in someone at risk for CAD, lasts up to one hour, resolves.)Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-44031595215726842892014-09-17T05:02:37.416-05:002014-09-17T05:02:37.416-05:00In first ecg there is t wave inversion, is it Well...In first ecg there is t wave inversion, is it Wellen's t wave<br />Or if during pain if this ecg recorded than what is importance of t wave inversion in this case?Sheikh iliyashttps://www.blogger.com/profile/07205705977848528507noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-86971715532868396732014-04-14T15:17:01.043-05:002014-04-14T15:17:01.043-05:00Yes, but this is a common nonspecific finding in E...Yes, but this is a common nonspecific finding in ECGs with deep S-waves. Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-52448409430296278662014-04-14T10:51:32.507-05:002014-04-14T10:51:32.507-05:00The first EKG is worrisome. V2-V3 have lost their ...The first EKG is worrisome. V2-V3 have lost their normal concave ST-T segment. I have seen the same pattern on a patient sent to the waiting room with a "normal" EKG who later coded in the waiting room. This is also where the ST elevation showed up in your second EKG...-Joshhttps://www.blogger.com/profile/04522231160007341759noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-56863617849441388252014-04-11T08:30:48.336-05:002014-04-11T08:30:48.336-05:00Pseudo-hyperK+ mimicing pseudo-Brugada mimicing an...Pseudo-hyperK+ mimicing pseudo-Brugada mimicing an actual AWMI? That's an awesome "cold read" ECG.<br /><br />Christopherhttps://www.blogger.com/profile/11415988855392944633noreply@blogger.com