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Classic Inferior MIRecip STD ECG FOAM Steve Smith A 40 yo with Chest pain. Only ECG abnormality is minimal ST depression in I and aVL (computer interpretation: normal) Dr Smith's ECG Blog

40min later

Recip STDSubtle Inferior Reciprocal Change MI ECG FOAM Steve Smith A 40 yo with Chest pain. Only ECG abnormality is minimal ST depression in I and aVL (computer interpretation: normal) Dr Smith's ECG Blog

Initial

Recip STDSubtle Inferior Reciprocal Change MI ECG FOAM Steve Smith A 40 yo with Chest pain. Only ECG abnormality is minimal ST depression in I and aVL (computer interpretation: normal) Dr Smith's ECG Blog

Next day

Myocardial BridgingReperfusion T WaveType II MI ECG FOAM Steve Smith Tachycardia, fever to 105, and ischemic ST Elevation -- a Bridge too Far Dr Smith's ECG Blog

65min later

Myocardial BridgingSerial ECGType II MI ECG FOAM Steve Smith Tachycardia, fever to 105, and ischemic ST Elevation -- a Bridge too Far Dr Smith's ECG Blog

35min later

Anterior STEMyocardial BridgingType II MI ECG FOAM Steve Smith Tachycardia, fever to 105, and ischemic ST Elevation -- a Bridge too Far Dr Smith's ECG Blog

Baseline 4 years ago

Baseline ECG ECG FOAM Steve Smith Tachycardia, fever to 105, and ischemic ST Elevation -- a Bridge too Far Dr Smith's ECG Blog
Myocardial BridgingSinus TachType II MI ECG FOAM Steve Smith Tachycardia, fever to 105, and ischemic ST Elevation -- a Bridge too Far Dr Smith's ECG Blog

Several hours later

LBBB Inferopost MI ECG FOAM Steve Smith Following Criteria Exactly, even the Modified Sgarbossa Criteria, Can Be Deadly Dr Smith's ECG Blog

Initial

Sgarb Neg ECG FOAM Steve Smith Following Criteria Exactly, even the Modified Sgarbossa Criteria, Can Be Deadly Dr Smith's ECG Blog

10.5h later

Pathological Q Wave-Reperfusion ECG FOAM Steve Smith What happens when a patient with LAD OMI does not go immediately to the cath lab? Dr Smith's ECG Blog

7h later

Pathological Q Wave-Reperfusion ECG FOAM Steve Smith What happens when a patient with LAD OMI does not go immediately to the cath lab? Dr Smith's ECG Blog

140min later, pain improving

Dynamic ECG FOAM Steve Smith What happens when a patient with LAD OMI does not go immediately to the cath lab? Dr Smith's ECG Blog

105min later

DynamicSerial ECGSubtle Anterior MI ECG FOAM Steve Smith What happens when a patient with LAD OMI does not go immediately to the cath lab? Dr Smith's ECG Blog

Baseline 7yrs ago

Baseline ECG ECG FOAM Steve Smith What happens when a patient with LAD OMI does not go immediately to the cath lab? Dr Smith's ECG Blog

Initial

Subtle Anterior MI ECG FOAM Steve Smith What happens when a patient with LAD OMI does not go immediately to the cath lab? Dr Smith's ECG Blog

Next morning

HypoCa ECG FOAM Steve Smith A Pathognomonic ECG. What is it? Dr Smith's ECG Blog

Initial

HypoCaLong QT ECG FOAM Steve Smith A Pathognomonic ECG. What is it? Dr Smith's ECG Blog

25min later

Anterior MI ECG FOAM Steve Smith A 50-something with chest pain presents to a Non-PCI capable facility Dr Smith's ECG Blog
Subtle Anterior MI ECG FOAM Steve Smith A 50-something with chest pain presents to a Non-PCI capable facility Dr Smith's ECG Blog

5 days later

TinvSTE ECG FOAM Steve Smith A Patient with Respiratory Failure and a Computer "Normal" ECG Dr Smith's ECG Blog

2h 45min later

TinvPathological Q Wave ECG FOAM Steve Smith A Patient with Respiratory Failure and a Computer "Normal" ECG Dr Smith's ECG Blog

Initial

Subtle Inferoposterior MI ECG FOAM Steve Smith A Patient with Respiratory Failure and a Computer "Normal" ECG Dr Smith's ECG Blog

Post PCI

Post-Intervention ECGReperfusion T Wave ECG FOAM Steve Smith Chest pain resolved, and a "Normal" ED ECG Dr Smith's ECG Blog

Prehospital

Chest LeadsSubtle Inferoposterior MI ECG FOAM Steve Smith Chest pain resolved, and a "Normal" ED ECG Dr Smith's ECG Blog