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People create a blog for a variety of reasons-for money, for humor and to inform current events. Setting up your blog on a free blog hosting site can also give you the opportunity to explore the wide variety of features commonly existing on blogging scripts. Smith and Meyers the features I list in Figure-1. Dr. Meyers also highlights the reciprocal ST-T depression seen in lead aVL. Meyers interpretation: (all I know is 30-something male with bilateral chest tightness): The lack of hyperacute T waves and lack of STD or TWI in aVL makes this inferior STE not definitive for OMI for me yet. 1) Straight ST Segments in all of II, III, and aVF (absence of upward concavity is unusual in normal variant STE and in pericarditis. Convex ST segments were seen in only 7% of pericarditis in Amal Mattus study; did not assess straight segments. The pain resolved. The patient had had some viral symptoms, and for this reason was diagnosed with pericarditis and treated with colchicine. 2) - or could possibly reflect a dynamic ST-T wave change in this patient with ongoing OMI. Just simply install SSL certificate on your server and the application protocol will change from HTTP to HTTPS. The preview of your theme may not look exactly as shown in the screenshot, which is normal as you will get to customize and set it up later. 3) - the now upright T waves in leads V1-thru-V4 may also represent reperfusion. 1. As Ive noted previously - the EASY way to quickly identify the culprit extremity causing the artifact is to see IF artifact is maximal in 2 of the limb leads, and in 1 of the augmented leads. As soon as Ive identified which of the 12 leads manifest clearly abnormal ST-T wave findings - I reapply the Patterns-of-Leads principle, by GOING BACK and taking another look at the remaining leads, to see if they might also show subtle abnormalities that I may not have initially identified. If these trend lines continue to hold, we may need to find a new asset class to get the benefits of diversification in the future. When you are running a business, time is precious and by hiring the right blog setup service you can spend that time on what you need to do. They need to feel like they really inhabit the character they are supposed to play. 1 - I believe subtle-but-real ST-T wave abnormalities are also present in leads I, V1 and V4. 1 is sinus tachycardia at 115-120/minute. A PVC is seen (in leads aVR,aVL,aVF). While I admittedly would not have known what to do with this subtle finding IF it was an isolated abnormality - given its proximity to leads V3 and V4 (that we know are abnormal) - there is little doubt that this subtle ST straightening and abrupt angulation in lead V2 also is abnormal. We have commented often in Dr. Smiths Blog how helpful the finding of a reciprocal relationship for ST-T wave appearance between leads III and aVL is for recognizing acute OMI. And, Lead V4 is definitely abnormal - as it shows ST depression and an overly fat-and-peaked T wave, similar to the ST-T wave appearance in lead V3. Note that all 4 of the complexes ST in lead V2 show ST straightening, with marked angulation as the ST segment transitions to the ascending limb of the T wave (thin RED lines in lead V2). The slight ST elevation in lead aVL is concave-up (ie, smiley configuration) - and totally consistent with a repolarization abnormality. I think that normal variant ST elevation (early repolarization) is more likely. So when you are done with all the basics in blog writing, it is best that you think about any specific concerns including your reasons for writing, the writing style that youre most comfortable using, your niche or field of expertise and your target audience. But perhaps the time has come for a requiem for the term STEMI. While it is true that using STEMI criteria in the 1980s and 1990s was proven better than flipping a coin to decide who needs emergent reperfusion therapy, it is no longer our best option and is actually inhibiting us from disco...