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LATEST Articles

Lead III vs V4R

By Jen Greene | October 9, 2019

Hi Current EGC readers, This is older but interesting. When ST elevation in lead III is greater than in lead II, this is a more sensitive finding than elevation in V4R in diagnosing right ventricular MI (RVMI). We can use this as a quick screening tool for RVMI.  Furthermore, III>II is a significant predictor of…

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Evaluate a Chemical-First Cardioversion Strategy for Patients with Uncomplicated Acute Atrial Fibrillation

By Jen Greene | September 18, 2019

HOT OFF THE PRESS! In a randomized controlled trial of uncomplicated and anticoagulated ED patients experiencing A-fib for less than 48 hours; both electrical and chemical (Procainamide) cardioversion were successful BUT the electricity first group had significantly shorter LOS (median difference of 1.2 hours (95% confidence interval = 0.4 to 2.0 hours, p < 0.001). https://www.ncbi.nlm.nih.gov/pubmed/?term=31423687 For full access…

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ST elevation: differentiation between ST elevation myocardial infarction and nonischemic ST elevation

By Dave Klein | August 21, 2019

Henry D. Huang, MD,a Yochai Birnbaum, MD from sciencedirect.com. Please note the downloadable pdf of the full article below. Abstract: It is well accepted that early reperfusion is beneficial in patients with acute myocardial infarction presenting with ST elevation (STE). Earlier studies suggested lack of beneficial effects in patients presenting without STE and even with…

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Effectiveness of a Prehospital Wireless 12-Lead Electrocardiogram and Cardiac Catheterization Laboratory Activation for ST-Elevation Myocardial Infarction

By Dave Klein | August 14, 2019

Alain Tanguay, MD, Eric Brassard, MD, Johann Lebon, PhD, François Bégin, MD, Denise Hébert, BcSc-Infa, and Jean-Michel Paradis, MD The aim of the study was to determine the prevalence of false-positive and inappropriate cardiac catheterization laboratory (CCL) activation in patients suspected with ST-elevation myocardial infarction (STEMI) diverted to a percutaneous coronary intervention (PCI) facility after…

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ST-elevation and non-ST-elevation acute coronary syndromes: Should the guidelines be changed?

By Dave Klein | August 7, 2019

An article by Anton P.M. Gorgels, MD, PhD, FESC, from sciencedirect.com. Please note the downloadable pdf of the full article below. Abstract: The 12 lead surface electrocardiogram (ECG) is an indispensable tool to identify acute coronary syndromes and the patient at high risk. Acute coronary syndromes are classified according to the presence or absence of…

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ST-Segment Deviation Analysis of the Admission 12-Lead Electrocardiogram as an Aid to Early Diagnosis of Acute Myocardial Infarction With a Cardiac Magnetic Resonance Imaging Gold Standard

By Dave Klein | July 31, 2019

Excerpt of article from the Journal of the American College of Cardiology, Vol. 50, No. 11, 2007. Thomas N. Martin, MD, Bjoern A. Groenning, MD, Heather M. Murray, MSC, Tracey Steedman, BSC, John E. Foster, PHD, Alex T. Elliot, PHD, Henry J. Dargie, MD, Ronald H. Selvester, MD, Olle Pahlm, MD, PHD, Galen S. Wagner,…

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Electrical Silence – Promo Video

By Dave Klein | July 29, 2019

Hey everyone, Current ECG here. Did you know that it’s possible to have an ECG where it doesn’t show any changes, but you know that the history of presenting illness fits, the patient presentation sure fits, and you’re thinking this is acute coronary syndrome, but you’re not sure why you’re not seeing a lot on…

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Cutting Edge ECG Interpretation: ‘The Current Reality’

By Dave Klein | July 24, 2019

By Dave Klein BA, ACP, Clinical Development Paramedic This article appears in the June-July 2019 edition of Canadian Paramedic Association: https://canadianparamedicine.ca/featured-edition, pp.38-40 Paramedic ECG Interpretation Paramedics practice medicine in unpredictable environments thus necessitating the need to utilize a number of different skills and technologies to improve patient assessment and treatment. One particular skill that has…

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OMI Manifesto!! is here

By Dave Klein | July 17, 2019

Hey everyone, Current ECG here. This is a quick video for an article about the OMI Manifesto posted here earlier today. There’s a really new piece of information done by Dr Pendell Meyers, Dr Stephen Smith, Dr Steven Weingard, and it’s called the Occlusion Myocardial Infarction Manifesto. And why I’m so pumped about it is…

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The OMI Manifesto

By Dave Klein | July 17, 2019

From http://hqmeded-ecg.blogspot.com/2018/04/the-omi-manifesto.html, Sunday April 1 2018: A Collaboration by Dr Smith’s ECG Blog and EMCrit Pendell Meyers, MD Scott Weingart, MD, FCCM Stephen Smith, MD The current guideline-recommended paradigm of acute MI management (“STEMI vs. NSTEMI”) is irreversibly flawed, and has prevented meaningful progress in the science of emergent reperfusion therapy over the past 25…

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