tag:blogger.com,1999:blog-549949223388475481.post9011706291176753186..comments2024-03-26T22:42:04.176-05:00Comments on Dr. Smith's ECG Blog: ST Elevation in I and aVL: do prehospital cath lab activation on these cases?Unknownnoreply@blogger.comBlogger5125tag:blogger.com,1999:blog-549949223388475481.post-37303802632611401342017-09-28T17:04:14.290-05:002017-09-28T17:04:14.290-05:00Kent,
I did not mean to imply that ACS is rule out...Kent,<br />I did not mean to imply that ACS is rule out by the EKG. That is never the case. Just that there is no indication for emergent reperfusion therapy.<br />ACS and even MI can have a totally normal EKG.<br />The only way to rule out MI is with serial troponins.<br />ACS cannot even be ruled out with serial troponins, as unstable angina still exists.<br />These patients may need further risk stratification with stress test or CTCA.<br />OK?<br />SteveSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-52732423440202216642017-09-25T19:13:45.840-05:002017-09-25T19:13:45.840-05:00What was it that ruled out an ACS? The EKG alone?...What was it that ruled out an ACS? The EKG alone? In small rural canada we have no ability for assessing wall motion abnormality. After reading your blogs I would have done serial EKG and Trops to rule out ACS as this EKG would be very suspicious to my perspective and being an hour away from a PCI facility would have made transfer to a PCI facility something to consider immediately. Anonymoushttps://www.blogger.com/profile/02257829601770857258noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-79388382267292455322017-08-07T10:47:09.612-05:002017-08-07T10:47:09.612-05:00Rajiv,
I see what you mean, but PR is still > 1...Rajiv,<br />I see what you mean, but PR is still > 120 and it was not WPW.<br />Steve SmithSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-59532363949744331032017-08-06T22:16:43.073-05:002017-08-06T22:16:43.073-05:00In case 3, lead V3 is suggestive of short PR with ...In case 3, lead V3 is suggestive of short PR with a hint of pre-excitation. Overall also, PR interval also appears to be short. Kindly enlighten Sir !Dr.Rajiv Arorahttps://www.blogger.com/profile/11328692379948981426noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-15261358672376143302017-08-01T13:46:40.118-05:002017-08-01T13:46:40.118-05:00Thanks for the post.... 🙂 Thanks for the post.... 🙂 MGhttps://www.blogger.com/profile/06233522417024317416noreply@blogger.com