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9min later, pain 1/10

Resolved STE ECG FOAM Steve Smith Paramedics make a great call Dr Smith's ECG Blog

5min later, pain 2/10

Subtle Anterior MI ECG FOAM Steve Smith Paramedics make a great call Dr Smith's ECG Blog

Pain 5/10

LAD occlusionSubtle Anterior MI ECG FOAM Steve Smith Paramedics make a great call Dr Smith's ECG Blog

10min later

DynamicLAD occlusionSubtle Anterior MI ECG FOAM Steve Smith A 40-something with Chest Pain Dr Smith's ECG Blog

Initial

Subtle Anterior MI ECG FOAM Steve Smith A 40-something with Chest Pain Dr Smith's ECG Blog
LVH2° Repol Δ ECG FOAM Steve Smith Is this STEMI? Pattern Recognition is Key Dr Smith's ECG Blog

After treatment

Resolved HyperK ECG FOAM Steve Smith This ECG is pathognomonic and you must recognize it. Dr Smith's ECG Blog

Initial

HyperK (7.8)Peaked TSlow Atrial FibrillationWide QRS ECG FOAM Steve Smith This ECG is pathognomonic and you must recognize it. Dr Smith's ECG Blog
Ashman BeatAF + RVRLeft Axis ECG FOAM Steve Smith Atrial Fib and RVR with a run of wide complex tachycardia. Was this Ventricular Tachycardia? Dr Smith's ECG Blog
NSRPost-Intervention ECG ECG FOAM Steve Smith You can get fooled if you don't read the ECG systematically Dr Smith's ECG Blog
Hidden PRetro PSVT ECG FOAM Steve Smith You can get fooled if you don't read the ECG systematically Dr Smith's ECG Blog

Post PCI

Reperfusion T Wave ECG FOAM Steve Smith A Missed STEMI. How could the Diagnosis have been certain? Dr Smith's ECG Blog

1h later

Anterior MI ECG FOAM Steve Smith A Missed STEMI. How could the Diagnosis have been certain? Dr Smith's ECG Blog

Initial

Subtle Anterior MI ECG FOAM Steve Smith A Missed STEMI. How could the Diagnosis have been certain? Dr Smith's ECG Blog

10h later

-Reperfusion T WaveTransient MI ECG FOAM Steve Smith Transient STEMI, no T-wave Evolution and no Wall Motion Abnormality Dr Smith's ECG Blog

2.5h later

-Reperfusion T WaveTransient MI ECG FOAM Steve Smith Transient STEMI, no T-wave Evolution and no Wall Motion Abnormality Dr Smith's ECG Blog

Pain resolved

Resolved STETransient MI ECG FOAM Steve Smith Transient STEMI, no T-wave Evolution and no Wall Motion Abnormality Dr Smith's ECG Blog

Initial

ECG FOAM Steve Smith Transient STEMI, no T-wave Evolution and no Wall Motion Abnormality Dr Smith's ECG Blog
HyperK (5.4)Slow AFlutter3°AVBVentricular Escape ECG FOAM Steve Smith Extreme Bradycardia after Diarrhea and Dehydration. Best ED treatment? Dr Smith's ECG Blog

Baseline

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

Initial

Subtle Inferoposterior MITransient MI ECG FOAM Steve Smith Unstable Angina: Again, it still exists...... Dr Smith's ECG Blog

4th day

Resolved Deeply Inverted T WaveSerial ECG ECG FOAM Steve Smith Spiked Helmet Sign Dr Smith's ECG Blog

3 days later

Deeply Inverted T WaveTakotsubo ECG FOAM Steve Smith Spiked Helmet Sign Dr Smith's ECG Blog

Initial

CerebroVascular AccidentDeeply Inverted T WaveSpiked Helmet SignTakotsubo ECG FOAM Steve Smith Spiked Helmet Sign Dr Smith's ECG Blog

5h later

Reperfusion T Wave ECG FOAM Steve Smith ECG Diagnostic of STEMI. But Interventionalist cancels the cath lab. Dr Smith's ECG Blog