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10 days later

Coronary DissectionReperfusion T Wave ECG FOAM Pendell Meyers, Steve Smith A 52 year old female with chest pain Dr Smith's ECG Blog

Serial 09:00

Reperfusion T Wave ECG FOAM Pendell Meyers, Steve Smith A 52 year old female with chest pain Dr Smith's ECG Blog

Next morning 08:00

Reperfusion T Wave ECG FOAM Pendell Meyers, Steve Smith A 52 year old female with chest pain Dr Smith's ECG Blog

Serial 20:07

DynamicTinv ECG FOAM Pendell Meyers, Steve Smith A 52 year old female with chest pain Dr Smith's ECG Blog

Seial 19:11

Resolved HyperTReperfusion ECG FOAM Pendell Meyers, Steve Smith A 52 year old female with chest pain Dr Smith's ECG Blog

Baseline

Baseline ECG ECG FOAM Pendell Meyers, Steve Smith A 52 year old female with chest pain Dr Smith's ECG Blog

Triage 16:15

Hyperacute T MI - Bulky ECG FOAM Pendell Meyers, Steve Smith A 52 year old female with chest pain Dr Smith's ECG Blog

6 after onset

Reperfusion T WaveSerial ECGResolved STD ECG FOAM Pendell Meyers, Steve Smith Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia) Dr Smith's ECG Blog

3h after onset

Isolated Posterior MILVHSerial ECG ECG FOAM Pendell Meyers, Steve Smith Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia) Dr Smith's ECG Blog

Initial

Chest PainIsolated Posterior MILVH ECG FOAM Pendell Meyers, Steve Smith Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia) Dr Smith's ECG Blog

Prehospital

Baseline ArtefactIsolated Posterior MI ECG FOAM Pendell Meyers, Steve Smith Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia) Dr Smith's ECG Blog

Day 3 at 1300

Reperfusion12-lead ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with schizophrenia, hypoglycemia, and vague chest pain and shortness of breath for a few days Dr Smith's ECG Blog

Day 3 at 0900

Post-Intervention ECGReperfusion T Wave12-lead ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with schizophrenia, hypoglycemia, and vague chest pain and shortness of breath for a few days Dr Smith's ECG Blog

Post cath

Post-Intervention ECGReperfusion T Wave12-lead ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with schizophrenia, hypoglycemia, and vague chest pain and shortness of breath for a few days Dr Smith's ECG Blog

Day 2 at 07:50

Dynamic12-leadSubtle Anterior MI ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with schizophrenia, hypoglycemia, and vague chest pain and shortness of breath for a few days Dr Smith's ECG Blog

Day 2 at 06:30

Coronary DissectionDynamicSerial ECG12-leadSubtle Anterior MI ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with schizophrenia, hypoglycemia, and vague chest pain and shortness of breath for a few days Dr Smith's ECG Blog

Serial 20:36

HyperT12-leadSubtle Anterior MI ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with schizophrenia, hypoglycemia, and vague chest pain and shortness of breath for a few days Dr Smith's ECG Blog

Baseline

12-leadAFBaseline ECGECG FOAM Dr Smith's ECG Blog

Triage 17:41

HyperTMissed MI12-lead ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with schizophrenia, hypoglycemia, and vague chest pain and shortness of breath for a few days Dr Smith's ECG Blog

Next day

Post-Intervention ECG12-lead ECG FOAM Pendell Meyers, Steve Smith This is really good Prehospital, ED, and Cardiology care. Inferior de Winter's T-waves. Dr Smith's ECG Blog

Arrival

Resolved Chest PainSerial ECG12-lead ECG FOAM Pendell Meyers, Steve Smith This is really good Prehospital, ED, and Cardiology care. Inferior de Winter's T-waves. Dr Smith's ECG Blog

Prehospital 2 - pain resolved

Resolved Chest PainSerial ECGResolved STD12-lead ECG FOAM Pendell Meyers, Steve Smith This is really good Prehospital, ED, and Cardiology care. Inferior de Winter's T-waves. Dr Smith's ECG Blog

Prehospital 1 - in pain

Chest Pain12-leadSubtle Inferoposterior MI ECG FOAM Pendell Meyers, Steve Smith This is really good Prehospital, ED, and Cardiology care. Inferior de Winter's T-waves. Dr Smith's ECG Blog

Serial

Normal Variant ST ElevationSTE SaddlebackSerial ECG12-lead ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with diaphoresis, vomiting, and inferior STE Dr Smith's ECG Blog

Baseline

Baseline ECG-HyperT12-lead ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with diaphoresis, vomiting, and inferior STE Dr Smith's ECG Blog