tag:blogger.com,1999:blog-549949223388475481.post695290920054430085..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Tachycardia and ST Elevation. Unknownnoreply@blogger.comBlogger5125tag:blogger.com,1999:blog-549949223388475481.post-16350646543093904522020-08-19T17:00:43.531-05:002020-08-19T17:00:43.531-05:00@ Unknown — I agree. I think it more likely that t...@ Unknown — I agree. I think it more likely that the STEMI came first, and AFlutter was a result of the STEMI.ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-80638163138915861942020-08-19T11:56:03.293-05:002020-08-19T11:56:03.293-05:00These being coincidental is not very likely. I thi...These being coincidental is not very likely. I think it is more likely that ischemia (from an instable coronary plaque) triggered the atrial flutter, and this instable plaque then ruptured causing the STEMI. The other way around, which is less likely I think, would be an atrial flutter causing type 2 ischemia, and the tachycardia triggering the STEMI (such as physical activity and emotional stress can actually trigger an acute coronary event).Anonymoushttps://www.blogger.com/profile/13841574496347733974noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-87393260106791705112018-10-06T10:29:54.387-05:002018-10-06T10:29:54.387-05:00I do not know the answerI do not know the answerSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-85101003002701594022018-09-29T07:49:36.579-05:002018-09-29T07:49:36.579-05:00This comment has been removed by the author.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-19640877574419083562018-09-24T15:33:48.347-05:002018-09-24T15:33:48.347-05:00Given that the atrial flutter had presumably been ...Given that the atrial flutter had presumably been ongoing for several days, and the OMI/STEMI was fairly acute/subacute, is it likely that there was any causative relationship between the two, or do you suspect they were purely coincidental?Tim Nnoreply@blogger.com