For anyone interested in learning more about angiography, come check out my introductory guide! Come see my annotated diagrams like the one shown below.

@Patrick49012564 @DavidLBrownMD Stent is focal treatment for systemic disease (atherosclerosis). Stents have complications, restenosis, and may accelerate atherosclerosis in other areas. Imagine widely metastatic cancer and you just cut out a single conspicuous lesion.

@Ben_Kelemen @ZSiudak @pmenon504 @cardiojaydoc02 And as you say, even if true, decreasing spontaneous MI at the cost of PPMI is a pyrrhic victory

@ZSiudak @pmenon504 @cardiojaydoc02 Or that stenting any lesion prevents future spontaneous MI.

@altcap Decades of randomized data show no survival benefit to stenting stable coronary disease.

@tvailas25 @altcap False negative and false positives. CAC is not a good test, and has never been shown to improve outcomes.

@ZacharieCantu @RhythmHelp @altcap COURAGE, BARI-2D, ISCHEMIA, REVIVED-BCIS-2. All landmark trials showing no benefit to stents vs medical management for stable disease.

@IhabFathiSulima Is there a prior ECG. I’m not convinced the ECG changes are acute. It could be, but it looks like LVH to me.

@EM_RESUS Unfortunately none were obtained. I routinely trend ECGs post PCI but I find most people are not interested.

@ecgandrhythmRoe @lila_enis Yes! She points to the exact right things! Amazing.

@lila_enis Knowing this, you can make out South African Flag sign. Hyperacute T waves in I/aVL/V2 with reciprocal change in III. Prior for comparison

@BobTeskey @smithECGBlog I think in analogies 😅

I left a few copies of the OMI Manifesto in strategic locations at the Heart House.

@woojinmjoo @drjohnm On the other hand, we do still prescribe OTC medications, e.g. aspirin.

@suricardio @ecgandrhythmRoe @baramink @CardioBeat_ @chi_no_usagi @DrRajeshG1 @DrRazi4 @ecgotaku @FibrilloFlutter Respectfully, it is not a STEMI. It is an NSTEMI. Which two contiguous leads would you say satisfy criteria? A good example for the failings of the STEMI paradigm and reason to embrace the OMI paradigm.

@sohrab1104 @ecgandrhythmRoe @Ecgloverr @The_Nanashi_O @DrRazi4 I would want to see a longer rhythm strip. This might be 2:1 AV conduction but the PR interval seems to vary slightly suggesting the possibility of complete heart block.

@jeffrey_vinocur FWIW I checked with the echocardiographer since it says "mildly reduced" but LVEF 57%. Response was that it was a typo and "it looked overall pretty normal."