tag:blogger.com,1999:blog-549949223388475481.post7766687984995297866..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Reperfusion through collaterals associated with nitroglycerin, lead reversal mimics T-wave inversion (and fooled me)Unknownnoreply@blogger.comBlogger3125tag:blogger.com,1999:blog-549949223388475481.post-63222900990426612242011-03-18T15:45:34.711-05:002011-03-18T15:45:34.711-05:00Luisa,
The ACC/AHA guidelines do suggest (weakly)...Luisa,<br /><br />The ACC/AHA guidelines do suggest (weakly) thrombolytics for posterior STEMI. <br /><br />As for the night before, since the ST depression and pain both resolved with nitro, I don't think immediate reperfusion is necessary. <br /><br />And for the atrial fib with tachycardia, it would be prudent to slow it down before giving thrombolytics - it could be rate dependent demand ischemia.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-83459710987801290332011-03-17T23:30:05.659-05:002011-03-17T23:30:05.659-05:00you know Steve...in a NOT PCI facility (if you con...you know Steve...in a NOT PCI facility (if you consider the Afib upside-down ECG) is a candidate for thrombolytic....where if you judge the not mirror ECG is not....don't you feel that something is wrong in the guidelines?!?<br />a bientot<br />LuisaAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-82988852857077239962011-03-17T09:54:30.714-05:002011-03-17T09:54:30.714-05:00WOW! upside-down on the mirror the AFib one is imp...WOW! upside-down on the mirror the AFib one is impressive.....<br />Nice...as usual<br />LuisaAnonymousnoreply@blogger.com