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Normal Variant ST Elevation ECG FOAM Steve Smith Is there Terminal QRS Distortion? Dr Smith's ECG Blog

4h later

Hyperacute T MI - TallSerial ECG ECG FOAM Steve Smith 30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion. Dr Smith's ECG Blog

Pain free

Hyperacute T MI - TallTransient MI ECG FOAM Steve Smith 30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion. Dr Smith's ECG Blog

24min later

Hyperacute T MI - TallTransient MI ECG FOAM Steve Smith 30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion. Dr Smith's ECG Blog

13min later

Hyperacute T MI - TallTransient MI ECG FOAM Steve Smith 30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion. Dr Smith's ECG Blog

Initial

Hyperacute T MI - TallTransient MI ECG FOAM Steve Smith 30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion. Dr Smith's ECG Blog

2 weeks later

~Brugada 1 ECG FOAM Steve Smith Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L? Dr Smith's ECG Blog

40h later

~Brugada 1 ECG FOAM Steve Smith Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L? Dr Smith's ECG Blog

17h later

~Brugada Syndrome Type 2 ECG FOAM Steve Smith Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L? Dr Smith's ECG Blog

Initial

~Brugada 1Coved ST ElevationMyocardial Contusion ECG FOAM Steve Smith Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L? Dr Smith's ECG Blog

Initial

Multi-Vessel DiseaseReperfusion T WaveSTD ECG FOAM Steve Smith Two cases of ST depression Dr Smith's ECG Blog

Next AM

Post-Intervention ECG ECG FOAM Steve Smith Altered Mental Status, Tachycardia, Hypotension, Hyperglycemia, Ill appearing Dr Smith's ECG Blog

Initial

LAFB + RBBBProx LAD MI - Bifasc ECG FOAM Steve Smith Progression of Anterior STEMI with RBBB and cardiogenic shock Dr Smith's ECG Blog

Representation 13 days later

Multi-Vessel DiseaseReperfusion T Wave ECG FOAM Steve Smith 45 year old with chest pain Dr Smith's ECG Blog

Serial

DynamicSerial ECG ECG FOAM Steve Smith 45 year old with chest pain Dr Smith's ECG Blog

Post resuscitation

Post-Intervention ECGResolved Shark Fin ECG FOAM Steve Smith Does this single lead show a wide complex tachycardia? Dr Smith's ECG Blog
Resolved ArrestShark Fin-VT ECG FOAM Steve Smith Does this single lead show a wide complex tachycardia? Dr Smith's ECG Blog

Serial

Anterior MIHyperacute T MI - TallLAD occlusion ECG FOAM Steve Smith I was reading a stack of ECGs yesterday, and saw this one, with no clinical information.... Dr Smith's ECG Blog

Initial

Isolated Posterior MILCx Occlusion ECG FOAM Steve Smith Beware confusing the diagnosis of posterior STEMI by using posterior leads... Dr Smith's ECG Blog

Serial

Reperfusion ECG FOAM Steve Smith Unstable Angina: Again, it still exists...... Dr Smith's ECG Blog

Initial

PericarditisPR depressSinus TachWidespread STE ECG FOAM Steve Smith ST Elevation after Stab Wound to the Heart Dr Smith's ECG Blog

Yesterday

Baseline ECG ECG FOAM Steve Smith I saw this computer "normal" ECG in a stack of ECGs I was reading Dr Smith's ECG Blog

Baseline

Baseline ECG ECG FOAM Steve Smith Acute aphasia. What is the likely etiology? Dr Smith's ECG Blog
Chest PainConcordant STD V1-3Excess Disc. STDLBBBLBBB High Lateral MISinus Tach ECG FOAM Steve Smith Acute Chest pain with LBBB. What is going on? Dr Smith's ECG Blog

Repeat at 26h

Resolved HyperTSerial ECG ECG FOAM Steve Smith When Normal is only Pseudo-Normal, it can deceive the caregivers. Dr Smith's ECG Blog