CME: Steve Smith: Subtle ECG Signs of Ischaemia

Here is the lecture given by Dr Steve Smith “Subtle ECG Signs of Ischaemia” from SMACC Gold 2014 that I played due to the lack of an available radiologist for our regular radiology session.

Resources:

• Dr Smith’s ECG Blog
• Electrocardiographic Differentiation of Early Repolarization From Subtle Anterior ST-Segment Elevation Myocardial Infarction article by Steve Smith, Annals of Emergency Medicine, Vol. 60, No. 1: July 2012 You can use Steve’s Blog site or the SubtleSTEMI iPhone App (instructions here) to assist with the calculation:
  • • (1.196 x STE at 60 ms after the J-point in V3 in mm) + (0.059 x computerized QTc) – (0.326 x R-wave Amplitude in V4 in mm)
• One hour lecture on Subtle ECG findings of Acute LAD Occlusion (plus some inferior/lateral/posterior) by Steve Smith 25/4/2015:

• EMCrit Podcast 146 – Who Needs an Acute PCI with Steve Smith (Part I)
• EMCrit Podcast 147 – Who Needs an Acute PCI with Steve Smith (Part II)
  • Complete Printable Summary of “Who Needs the Cath Lab/Cards Consult?”
  • ECGs Prompting Activation/Consultation of PCI Team – Cheat Sheet: