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Anterior STEChest PainHyperCaShort QT ECG FOAM Jesse McLaren, Steve Smith Chest pain, among other symptoms. What do you see? Dr Smith's ECG Blog

Discharge day 7

Reperfusion T Wave ECG FOAM Jesse McLaren, Steve Smith Dueling OMI: does this 30 year old with chest pain have any signs of occlusion or reperfusion? Dr Smith's ECG Blog

Next day

Reperfusion T Wave ECG FOAM Jesse McLaren, Steve Smith Dueling OMI: does this 30 year old with chest pain have any signs of occlusion or reperfusion? Dr Smith's ECG Blog

13h later

Re-occlusion ECG FOAM Jesse McLaren, Steve Smith Dueling OMI: does this 30 year old with chest pain have any signs of occlusion or reperfusion? Dr Smith's ECG Blog

10h later

Reperfusion T Wave ECG FOAM Jesse McLaren, Steve Smith Dueling OMI: does this 30 year old with chest pain have any signs of occlusion or reperfusion? Dr Smith's ECG Blog

5h later

Subtle Inferoposterior MI ECG FOAM Jesse McLaren, Steve Smith Dueling OMI: does this 30 year old with chest pain have any signs of occlusion or reperfusion? Dr Smith's ECG Blog

After first troponin

Subtle Inferoposterior MI ECG FOAM Jesse McLaren, Steve Smith Dueling OMI: does this 30 year old with chest pain have any signs of occlusion or reperfusion? Dr Smith's ECG Blog

Triage

Subtle Inferoposterior MI ECG FOAM Jesse McLaren, Steve Smith Dueling OMI: does this 30 year old with chest pain have any signs of occlusion or reperfusion? Dr Smith's ECG Blog

24h later

Post-Intervention ECG ECG FOAM Jesse McLaren, Steve Smith Unconscious + STEMI criteria: activate the cath lab? Dr Smith's ECG Blog

Initial

HypothermiaInf STE ECG FOAM Jesse McLaren, Steve Smith Unconscious + STEMI criteria: activate the cath lab? Dr Smith's ECG Blog
ECG FOAM Jesse McLaren, Steve Smith Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion Dr Smith's ECG Blog
ECG FOAM Jesse McLaren, Steve Smith Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion Dr Smith's ECG Blog

Prehospital

Subtle Anterior MI ECG FOAM Jesse McLaren, Steve Smith Chest pain, peak troponin 100,000 ng/L and this ECG on discharge: what’s the diagnosis? Dr Smith's ECG Blog

Triage

Subtle Anterior MI ECG FOAM Jesse McLaren, Steve Smith Chest pain, peak troponin 100,000 ng/L and this ECG on discharge: what’s the diagnosis? Dr Smith's ECG Blog

Prior to cath

Subtle Anterior MI ECG FOAM Jesse McLaren, Steve Smith Chest pain, peak troponin 100,000 ng/L and this ECG on discharge: what’s the diagnosis? Dr Smith's ECG Blog

discharge

Reperfusion T Wave ECG FOAM Jesse McLaren, Steve Smith Chest pain, peak troponin 100,000 ng/L and this ECG on discharge: what’s the diagnosis? Dr Smith's ECG Blog
LVH + LAD MIReperfusion T Wave ECG FOAM Jesse McLaren, Steve Smith Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion Dr Smith's ECG Blog
DynamicLVH + LAD MISerial ECG ECG FOAM Jesse McLaren, Steve Smith Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion Dr Smith's ECG Blog
HyperTLVH + LAD MISerial ECGSTD ECG FOAM Jesse McLaren, Steve Smith Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion Dr Smith's ECG Blog
LVH + LAD MI ECG FOAM Jesse McLaren, Steve Smith Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion Dr Smith's ECG Blog
Chest PainLVH-LVH + LAD MI ECG FOAM Jesse McLaren, Steve Smith Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion Dr Smith's ECG Blog

Next day

High Lateral D1 MIPathological Q WavePost-Intervention ECGRBBB ECG FOAM Jesse McLaren, Steve Smith Chest pain, RBBB but “STEMI Negative”: Is this a false cath lab activation, or a false cancellation? Dr Smith's ECG Blog

6 hours after arrival

AFChest PainECG FOAMHigh Lateral D1 MIPathological Q WaveRBBB Dr Smith's ECG Blog

2 hours later

Chest PainHigh Lateral D1 MIPathological Q WaveRBBBSerial ECG ECG FOAM Jesse McLaren, Steve Smith Chest pain, RBBB but “STEMI Negative”: Is this a false cath lab activation, or a false cancellation? Dr Smith's ECG Blog

Prehospital

Chest PainHigh Lateral D1 MIRBBB ECG FOAM Jesse McLaren, Steve Smith Chest pain, RBBB but “STEMI Negative”: Is this a false cath lab activation, or a false cancellation? Dr Smith's ECG Blog