tag:blogger.com,1999:blog-549949223388475481.post8068745491310690699..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Chest Pain, ST Elevation, and an Elevated Troponin: Should we Activate the Cath Lab? Unknownnoreply@blogger.comBlogger3125tag:blogger.com,1999:blog-549949223388475481.post-18801119329905950982015-11-29T09:31:09.563-06:002015-11-29T09:31:09.563-06:00Harley,
I did not even look there (as I was not wr...Harley,<br />I did not even look there (as I was not writing the post!)<br />I'm so glad you brought it up.<br />Now I am looking at it and it is clear that this is a right sided ECG.<br />Sam must have sent me the right sided one rather than the left sided.<br />This makes no difference as to the limb leads and the presence of inferior acute vs. old MI.<br />I have corrected it.<br />Thanks!Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-65834365505776323412015-11-27T17:22:25.923-06:002015-11-27T17:22:25.923-06:00Hi Dr Smith,
Great post as usual.
I'm curiou...Hi Dr Smith,<br />Great post as usual. <br />I'm curious as to why there was no mention throughout the post of the q waves and convex STE/T wave inversion in leads V3-V6 in her most current ECG (ECG 1 of the post). When you compared this current ECG to ECGs 3 weeks prior these finding were not present. Her ECG prior to Cath lab demonstrated the inferior Qr/STE as mentioned, however V3-V6 largely unremarkable and showed none of the current characteristics. Do you think its possible her anterolateral wall has been compromised? <br />Look forward to your reply.<br />Harley CrossAnonymoushttps://www.blogger.com/profile/15593636127600494105noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-46327687468146882142015-11-27T17:13:54.160-06:002015-11-27T17:13:54.160-06:00Hi Dr Smith,
Great post as usual. Im curious as t...Hi Dr Smith,<br />Great post as usual. Im curious as to why there was no mention of the q waves and convex ST elevation/T wave inversion in V3 to V6 on her current presentation (ECG 1). When you compared her current ECG to the ECG 3 weeks prior these findings were not present. The ECG shown prior to Cath lab demonstrates the inferior Qr and ST elevation as mentioned however V3 to V6 are vastly different. Do you think anything has compromised her anterolateral wall? look forward to your response. <br />Harley CrossAnonymoushttps://www.blogger.com/profile/15593636127600494105noreply@blogger.com