tag:blogger.com,1999:blog-549949223388475481.post9153471978855118836..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: Isolated "Inferior" ST Segment Depression: Not a Sign of Inferior IschemiaUnknownnoreply@blogger.comBlogger4125tag:blogger.com,1999:blog-549949223388475481.post-54733998712916473992015-05-27T06:46:36.287-05:002015-05-27T06:46:36.287-05:00Yes, anatomy is variable. But with most LAD occlu...Yes, anatomy is variable. But with most LAD occlusions, you would expect more effect on more precordial leads. First diagonal occlusions often result in a "midanterolateral" MI with leads I, aVL, and V2 involved. Check this out: http://hqmeded-ecg.blogspot.com/search?q=midanterolateralSteve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-66218542548878795352015-05-27T03:01:05.540-05:002015-05-27T03:01:05.540-05:00I thought this was a proximal LAD occlusion rahter...I thought this was a proximal LAD occlusion rahter than a first diagonal? There is loss of R-wave in V2-V3 with discrete ST-elevation in V3 and straightening of the ST-segment in this lead. But I suppose it depends on the anatomy. Was an angio performed? Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-74616335952338689362015-05-25T07:59:46.609-05:002015-05-25T07:59:46.609-05:00This is clearly a STEMI. I gave this patient tPA ...This is clearly a STEMI. I gave this patient tPA (it was a while ago!). It reperfused.Steve Smithhttps://www.blogger.com/profile/08027289511840815536noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-17839355859039225842015-05-24T19:14:55.277-05:002015-05-24T19:14:55.277-05:00Steve, what's your threshold for calling the c...Steve, what's your threshold for calling the cath lab urgently on these?Brett Rosen MDhttps://www.blogger.com/profile/17197005768076865788noreply@blogger.com