tag:blogger.com,1999:blog-549949223388475481.post5454005362133030196..comments2024-03-26T22:42:04.176-05:00Comments on Dr. Smith's ECG Blog: Missed Acute MI, with coronary occlusion, evidence only by T-wave inversion in V2 and evolving ST depression in V3Unknownnoreply@blogger.comBlogger9125tag:blogger.com,1999:blog-549949223388475481.post-51291397620020319782017-10-12T14:50:11.251-05:002017-10-12T14:50:11.251-05:00The two complexes are different, so there is artif...The two complexes are different, so there is artifact. Echo would be very useful - stat!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-33914203852745591262017-10-12T01:04:43.874-05:002017-10-12T01:04:43.874-05:00Hello
What i ment is, in the magnified view of le...Hello <br />What i ment is, in the magnified view of lead v3,the top lead v3 has concave ST segment and the bottom v3 has a straight ST segment with a sharp ST-T angle. Just a finding, not a question... <br /><br />After seeing those subtle changes would an echo be helpful to decide if urgent cath lab activation required or would you consider serial tropTs and ECGs?<br /><br />MGhttps://www.blogger.com/profile/06233522417024317416noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-22201141171835466572017-10-11T16:44:51.651-05:002017-10-11T16:44:51.651-05:00MG,
you need to ask your questions more clearly!
S...MG,<br />you need to ask your questions more clearly!<br />SteveSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-15275465665422789972017-10-05T14:39:31.808-05:002017-10-05T14:39:31.808-05:00too subtle findings esp0 STD in v3 on ECG 2
I noti...too subtle findings esp0 STD in v3 on ECG 2<br />I noticed however in ECG 2, the change in ST mophology i.e from concave to straight in lead V3 and decrease in T wave depth in lead v2MGhttps://www.blogger.com/profile/06233522417024317416noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-35814336218326580092016-03-02T08:55:47.808-06:002016-03-02T08:55:47.808-06:00Don't know exact outcome but, as I wrote, prob...Don't know exact outcome but, as I wrote, probably inferior MI.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-89951315376151853852016-03-02T05:30:17.188-06:002016-03-02T05:30:17.188-06:00Sir, First 2 ECGs - Subtle STE in II, III,aVF with...Sir, First 2 ECGs - Subtle STE in II, III,aVF with Flat T Wave in aVL. And Subsequest ECG - q wave in above leads. Can we consider as Inferior Wall MI with Septal MI?Equbal , Family Physicianhttps://www.blogger.com/profile/15668924554489069795noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-41597717279027084512011-09-08T06:21:13.735-05:002011-09-08T06:21:13.735-05:00It's tempting to see it, but I think the speci...It's tempting to see it, but I think the specificity of the findings would be poor; i.e., you would see that in a lot of normals.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-6769718127884490302011-09-07T20:48:13.484-05:002011-09-07T20:48:13.484-05:00subtle indeed.
the shape of the inferior STE and ...subtle indeed.<br /><br />the shape of the inferior STE and especially the flatness of aVL seem suspicious. what are your thoughts on that?Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-16991028393986503112011-09-06T13:17:15.396-05:002011-09-06T13:17:15.396-05:00It also looks like V6 acquired 0.5mm of STE betwee...It also looks like V6 acquired 0.5mm of STE between the first two ECG's.<br /><br />As always an interesting case!Christopherhttps://www.blogger.com/profile/11415988855392944633noreply@blogger.com