Tag Archives: inferior mi

66 year old male CC: Chest pain

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Here's an interesting case that illustrates the value of the prehospital 12 lead ECG. A 66 year old male became suddenly ill while playing tennis. Bystanders state that he struck the ball with his racket, staggered a few steps, placed his hand over his chest, and sat down on the tennis court. 9-1-1 was contacted […]

Right ventricular infarction – Part I

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Right ventricular infarction. What is it and why should you care? Depending on what you read, right ventricular infarct may complicate up to 40 or 50% of all inferior MIs. Remember, when we say “inferior MI” or “anterior MI” we’re talking about the inferior wall of the left ventricle or the anterior wall of the […]

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Comments
Ken Grauer, MD
The 360 Degree Heart – Part II
Nice case Vince (!) - as you lay the ground for your "pet concept" of the vector approach to ST elevation. That said, for those vectorially-challenged readers (like myself) - I offer the following 2 concepts: i) This is not diffuse subendocardial ischemia because the ST depression is not "diffuse". Instead - there is no…
2014-10-26 05:13:56
Stephen Smith
Conclusion: “And then I gave her a NTG…”
There is also no data I'm aware of that shows that, in the reperfusion era, nitroglycerine helps patients with STEMI who do not have elevated BP or pulmonary edema. Data is lacking in all regards.
2014-10-24 16:14:36
Kevin
44 year old male CC: Palpitations
Why on earth would you risk VF, by giving Adenosine to rule out rhythms.. This is dangerous, and foolish. There might be a slight chance that this is WPW.. You might as well just give him Cardizem, they are both AV nodal blockers... I don't know why the AHA even added this stupid idea..
2014-10-22 13:31:06
Vince DiGiulio
The 360 Degree Heart – Part II
It is standard practice in electrocardiography to label the first 90 degrees counter-clockwise from "zero" that way. When you see a patient with "left axis deviation" you'll see that their measured QRS axis is somewhere between -30 and -90 degrees. Imagine if you saw someone with a mean QRS axis at 5 degrees. Now imagine…
2014-10-21 14:00:37
Bryan
The 360 Degree Heart – Part II
I don't understand why (-)III and aVL are be labeled -60 and -30 degrees instead of 300 and 330 degrees?
2014-10-21 13:43:29

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