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Arrival

DynamicSerial ECGSubtle Inferoposterior MI ECG FOAM Pendell Meyers, Steve Smith Do these Serial Prehospital ECGs show OMI? Dr Smith's ECG Blog

Prehospital 3

DynamicSerial ECGSTDSTE ECG FOAM Pendell Meyers, Steve Smith Do these Serial Prehospital ECGs show OMI? Dr Smith's ECG Blog

Prehospital 2

Chest PainSerial ECGSTD ECG FOAM Pendell Meyers, Steve Smith Do these Serial Prehospital ECGs show OMI? Dr Smith's ECG Blog

Prehospital 1

Chest PainSTD ECG FOAM Pendell Meyers, Steve Smith Do these Serial Prehospital ECGs show OMI? Dr Smith's ECG Blog
Chest PainLAFB + RBBBLeft Main Occlusion with New Bifascicular BlockSinus Tach ECG FOAM Pendell Meyers, Steve Smith A deadly alcohol binge: a man in his 30s with chest pain and initial high sensitivity troponin I within normal limits Dr Smith's ECG Blog
Delta Wave2° Repol ΔWPW ECG FOAM Pendell Meyers, Steve Smith I thought the ECG diagnosis was obvious. But many missed it. So I'm showing it. Dr Smith's ECG Blog

Post cath 3

Pathological Q WaveReperfusion T Wave ECG FOAM Pendell Meyers, Steve Smith A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him? Dr Smith's ECG Blog

Post cath 2

Pathological Q WaveReperfusion T Wave ECG FOAM Pendell Meyers, Steve Smith A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him? Dr Smith's ECG Blog

Post cath 1

LV AneurysmPathological Q WaveReperfusion T Wave ECG FOAM Pendell Meyers, Steve Smith A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him? Dr Smith's ECG Blog

4h20min later

Pseudo-Normal TRe-occlusion ECG FOAM Pendell Meyers, Steve Smith A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him? Dr Smith's ECG Blog

4h later

Reperfusion T WaveSerial ECG ECG FOAM Pendell Meyers, Steve Smith A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him? Dr Smith's ECG Blog

2.5h later

DynamicPathological Q WaveSerial ECGSTESubtle Anterior MI ECG FOAM Pendell Meyers, Steve Smith A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him? Dr Smith's ECG Blog

Baseline

Baseline ECG ECG FOAM Pendell Meyers, Steve Smith A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him? Dr Smith's ECG Blog

On arrival

Anterior STEHyperTSubtle Anterior MI ECG FOAM Pendell Meyers, Steve Smith A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him? Dr Smith's ECG Blog

Baseline 2

Baseline ECGLVH ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with anterior ST elevation and a "tall T wave in V1" Dr Smith's ECG Blog

Baseline 1

Baseline ECGLVH ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with anterior ST elevation and a "tall T wave in V1" Dr Smith's ECG Blog
LVH-LVH + LAD MINormal Variant ST ElevationSTE SaddlebackSTE ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with anterior ST elevation and a "tall T wave in V1" Dr Smith's ECG Blog

Triage

ArrestChest PainDiffuse Subendocardial Ischaemia~LVHSTDSTE ECG FOAM Pendell Meyers, Steve Smith A man in his late 40s with chest pain Dr Smith's ECG Blog

Baseline 4

Baseline ECG ECG FOAM Pendell Meyers, Steve Smith A man in his 70s with chest pain, shortness of breath, and acute huge anterior ST elevation Dr Smith's ECG Blog

Baseline 3

Baseline ECG ECG FOAM Pendell Meyers, Steve Smith A man in his 70s with chest pain, shortness of breath, and acute huge anterior ST elevation Dr Smith's ECG Blog

Baseline 2

Baseline ECG ECG FOAM Pendell Meyers, Steve Smith A man in his 70s with chest pain, shortness of breath, and acute huge anterior ST elevation Dr Smith's ECG Blog

5h later, after cath

Serial ECG ECG FOAM Pendell Meyers, Steve Smith A man in his 70s with chest pain, shortness of breath, and acute huge anterior ST elevation Dr Smith's ECG Blog

Baseline

Baseline ECG ECG FOAM Pendell Meyers, Steve Smith A man in his 70s with chest pain, shortness of breath, and acute huge anterior ST elevation Dr Smith's ECG Blog

Immediate repeat

-DynamicSerial ECG ECG FOAM Pendell Meyers, Steve Smith A man in his 70s with chest pain, shortness of breath, and acute huge anterior ST elevation Dr Smith's ECG Blog

Triage

Chest PainCocaine Toxicity~Coronary Artery SpasmCoved ST ElevationSOBSTE Saddleback ECG FOAM Pendell Meyers, Steve Smith A man in his 70s with chest pain, shortness of breath, and acute huge anterior ST elevation Dr Smith's ECG Blog