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78min later

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

35min later

ReperfusionSerial ECG ECG FOAM Steve Smith ECG Diagnostic of STEMI. But Interventionalist cancels the cath lab. Dr Smith's ECG Blog

Prehospital

Anterior STELAD occlusionSubtle Anterior MI ECG FOAM Steve Smith ECG Diagnostic of STEMI. But Interventionalist cancels the cath lab. Dr Smith's ECG Blog

3.5h later

RBBBResolved STE ECG FOAM Steve Smith PseudoSTEMI and True ST elevation in Right Bundle Branch Block (RBBB). Don't miss case 4 at the bottom. Dr Smith's ECG Blog

30min later

DynamicRBBBSerial ECGSTE ECG FOAM Steve Smith PseudoSTEMI and True ST elevation in Right Bundle Branch Block (RBBB). Don't miss case 4 at the bottom. Dr Smith's ECG Blog

Arrival

RBBBSTE~Type II MI ECG FOAM Steve Smith PseudoSTEMI and True ST elevation in Right Bundle Branch Block (RBBB). Don't miss case 4 at the bottom. Dr Smith's ECG Blog

Prehospital

RBBBSTE~Type II MI ECG FOAM Steve Smith PseudoSTEMI and True ST elevation in Right Bundle Branch Block (RBBB). Don't miss case 4 at the bottom. Dr Smith's ECG Blog
-Inf STERBBB ECG FOAM Steve Smith PseudoSTEMI and True ST elevation in Right Bundle Branch Block (RBBB). Don't miss case 4 at the bottom. Dr Smith's ECG Blog
-Inf STERBBB ECG FOAM Steve Smith PseudoSTEMI and True ST elevation in Right Bundle Branch Block (RBBB). Don't miss case 4 at the bottom. Dr Smith's ECG Blog

4h later

ReperfusionTransient MI ECG FOAM Steve Smith Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG. Dr Smith's ECG Blog

Arrival, 25min later

Hyperacute T MI - TallTransient MI ECG FOAM Steve Smith Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG. Dr Smith's ECG Blog

24min later

Anterior STEHyperacute T MI - Tall ECG FOAM Steve Smith Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG. Dr Smith's ECG Blog

13min later

Anterior STEHyperacute T MI - Tall ECG FOAM Steve Smith Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG. Dr Smith's ECG Blog

Prehospital

Hyperacute T MI - TallTransient MI ECG FOAM Steve Smith Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG. Dr Smith's ECG Blog
Delta WaveNormal PRWPW ECG FOAM Steve Smith A large R-wave in lead V1. And why is the PR interval not short? Dr Smith's ECG Blog
De Winter T MILAD occlusion-Pericarditis ECG FOAM Steve Smith A 21 year old with Chest pain Dr Smith's ECG Blog
Inf STELateral STEPESinus TachST Depression in aVLType II MI ECG FOAM Steve Smith Sudden Severe SOB and ST Segment Elevation: What is the Diagnosis and Treatment? Dr Smith's ECG Blog
Inf STEPESinus Tach ECG FOAM Steve Smith Sudden Severe SOB and ST Segment Elevation: What is the Diagnosis and Treatment? Dr Smith's ECG Blog
Low QRSPericardial Effusion ECG FOAM Steve Smith 2 weeks of chest pain, weakness. Presents with tachycardia. Dr Smith's ECG Blog
Baseline Artefact ECG FOAM Steve Smith A very elderly woman with a pacemaker and minimal symptoms Dr Smith's ECG Blog

Baseline

Baseline ECGRBBB ECG FOAM Steve Smith Right Bundle Branch Block. What else? Dr Smith's ECG Blog

Initial

HyperK (6.1)Peaked TRBBB ECG FOAM Steve Smith Right Bundle Branch Block. What else? Dr Smith's ECG Blog
Diffuse Subendocardial IschaemiaSepsisSTD Widespread ECG FOAM Steve Smith A young healthy male with epigastric pain and tachycardia Dr Smith's ECG Blog

Electrodes misplaced

Classic Inferoposterior MIRCA Occlusion ECG FOAM Steve Smith What is the culprit vessel? Dr Smith's ECG Blog

Initial

Misplaced-High Lateral D1 MIRCA Occlusion ECG FOAM Steve Smith What is the culprit vessel? Dr Smith's ECG Blog