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Initial

Chest PainLVHNondiagnostic ECG ECG FOAM Steve Smith Does a Single Troponin below the 99th percentile URL Rule out Acute MI if the Chest pain is very prolonged? Dr Smith's ECG Blog
Post-Intervention ECG ECG FOAM Steve Smith A Pathognomonic ECG. What is it? (Hint: 2 diagnoses in one) Dr Smith's ECG Blog
HyperK (6.2)HypoCaLong QTPeaked T ECG FOAM Steve Smith A Pathognomonic ECG. What is it? (Hint: 2 diagnoses in one) Dr Smith's ECG Blog

Next morning

Post-Intervention ECG ECG FOAM Steve Smith Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping Dr Smith's ECG Blog

Post PCI

Post-Intervention ECGResolved STD ECG FOAM Steve Smith Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping Dr Smith's ECG Blog

37 min later

DynamicHyperTIsolated Posterior MISerial ECG ECG FOAM Steve Smith Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping Dr Smith's ECG Blog

23min later posterio leads

DynamicIsolated Posterior MIPosterior Leads ECG FOAM Steve Smith Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping Dr Smith's ECG Blog

Posterior leads

Isolated Posterior MIPosterior Leads ECG FOAM Steve Smith Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping Dr Smith's ECG Blog

Initial

Isolated Posterior MI ECG FOAM Steve Smith Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping Dr Smith's ECG Blog

Prehospital

Chest PainNondiagnostic ECG ECG FOAM Steve Smith Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping Dr Smith's ECG Blog

After treatment

NSRPVC ECG FOAM Steve Smith Toothache, incidental Wide Complex Tachycardia Dr Smith's ECG Blog

Rhythm change

RVOT ECG FOAM Steve Smith Toothache, incidental Wide Complex Tachycardia Dr Smith's ECG Blog

Serial

Resolved RVOT ECG FOAM Steve Smith Toothache, incidental Wide Complex Tachycardia Dr Smith's ECG Blog

Initial

RVOTVertical QRS AxisWCT ECG FOAM Steve Smith Toothache, incidental Wide Complex Tachycardia Dr Smith's ECG Blog

Post cardioversion

NSRResolved 2° Repol Δ ECG FOAM Steve Smith Is this ST depression due to OMI or due to subendocardial ischemia? This is critical to distinguish, and this is a trick case! Dr Smith's ECG Blog

Initial

AF + RVR2° Repol Δ ECG FOAM Steve Smith Is this ST depression due to OMI or due to subendocardial ischemia? This is critical to distinguish, and this is a trick case! Dr Smith's ECG Blog

Baseline

Short PRWPW ECG FOAM Steve Smith A 19 year old with panic attacks. On the previous ECG, the diagnosis was missed, as it frequently is! Dr Smith's ECG Blog

Initial

Delta WaveSOBWPW ECG FOAM Steve Smith A 19 year old with panic attacks. On the previous ECG, the diagnosis was missed, as it frequently is! Dr Smith's ECG Blog

Prehospital 3

~Classic Inferoposterior MI~PE ECG FOAM Steve Smith Collapse, pulse present, ECG shows inferior OMI. Then there is loss of pulses with continued narrow complex on the monitor ("PEA arrest") Dr Smith's ECG Blog

Prehospital 2

Arrest ECG FOAM Steve Smith Collapse, pulse present, ECG shows inferior OMI. Then there is loss of pulses with continued narrow complex on the monitor ("PEA arrest") Dr Smith's ECG Blog

Prehospital 1

~Classic Inferior MILOC~PE ECG FOAM Steve Smith Collapse, pulse present, ECG shows inferior OMI. Then there is loss of pulses with continued narrow complex on the monitor ("PEA arrest") Dr Smith's ECG Blog
HypoK (2.8)Long QTVent Bigeminy ECG FOAM Steve Smith What are these bizarre bigeminal PVCs?? Dr Smith's ECG Blog

Standing

Long QT ECG FOAM Steve Smith A New Seizure in a Healthy 20-something Dr Smith's ECG Blog

Serial

Long QT ECG FOAM Steve Smith A New Seizure in a Healthy 20-something Dr Smith's ECG Blog

Next day

Long QTTall U ECG FOAM Steve Smith A New Seizure in a Healthy 20-something Dr Smith's ECG Blog