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Initial

Cocaine Toxicity-HyperKMetabolic AcidosisWide QRS ECG FOAM Steve Smith Cardiac arrest, severe acidosis, and a bizarre ECG Dr Smith's ECG Blog

Serial 8h later

Deeply Inverted T WaveLVHIschemiaType II MI ECG FOAM Steve Smith Wellens' waves are NOT equivalent to Wellens' syndrome: Pseudo-Wellens' due to LVH and HTN Dr Smith's ECG Blog

8 weeks later, chest pain and APO

Up-Down T ECG FOAM Steve Smith Wellens' waves are NOT equivalent to Wellens' syndrome: Pseudo-Wellens' due to LVH and HTN Dr Smith's ECG Blog

7 weeks later. dyspnoea again

Up-Down T ECG FOAM Steve Smith Wellens' waves are NOT equivalent to Wellens' syndrome: Pseudo-Wellens' due to LVH and HTN Dr Smith's ECG Blog

24h earlier, fluid overload

Baseline ECG ECG FOAM Steve Smith Wellens' waves are NOT equivalent to Wellens' syndrome: Pseudo-Wellens' due to LVH and HTN Dr Smith's ECG Blog

Initial

Up-Down T-Wellens B MILVH2° Repol Δ ECG FOAM Steve Smith Wellens' waves are NOT equivalent to Wellens' syndrome: Pseudo-Wellens' due to LVH and HTN Dr Smith's ECG Blog
FVTWCT ECG FOAM Steve Smith A Young Woman with A Wide Complex Regular Tachycardia. Dr Smith's ECG Blog
Atrial Tach ECG FOAM Steve Smith Irregularly irregular supraventricular very fast rhythm: what is it? Dr Smith's ECG Blog
Atrial Tach ECG FOAM Steve Smith Irregularly irregular supraventricular very fast rhythm: what is it? Dr Smith's ECG Blog
Atrial TachSVTVariable P:QRS ECG FOAM Steve Smith Irregularly irregular supraventricular very fast rhythm: what is it? Dr Smith's ECG Blog

Post replacement of K

HypoKPost-Intervention ECG ECG FOAM Steve Smith A woman in her 20s with syncope Dr Smith's ECG Blog

Baseline

Baseline ECGiRBBB ECG FOAM Steve Smith A woman in her 20s with syncope Dr Smith's ECG Blog

Initial

HypoK (2.9)RBBBTall U ECG FOAM Steve Smith A woman in her 20s with syncope Dr Smith's ECG Blog

24min later

LCx OcclusionMulti-Vessel DiseaseSubtle Inferior Reciprocal Change MI ECG FOAM Steve Smith All this teaching makes a difference! And a new paper on subtle ST Elevation. Dr Smith's ECG Blog

Initial

Subtle Inferior Reciprocal Change MI ECG FOAM Steve Smith All this teaching makes a difference! And a new paper on subtle ST Elevation. Dr Smith's ECG Blog

Post adenosine

2:1 P:QRSAFlutter ECG FOAM Steve Smith Very Fast Very Wide Complex Tachycardia Dr Smith's ECG Blog

After adenosine

AFlutterRhythm Strip OnlyWCT ECG FOAM Steve Smith Very Fast Very Wide Complex Tachycardia Dr Smith's ECG Blog

Rhythm during adenosine

AFlutterRhythm Strip OnlyWCT ECG FOAM Steve Smith Very Fast Very Wide Complex Tachycardia Dr Smith's ECG Blog

Initial

AFlutterWCT ECG FOAM Steve Smith Very Fast Very Wide Complex Tachycardia Dr Smith's ECG Blog

Post resuscitation

Resolved ArrestAnterior MI ECG FOAM Steve Smith Chest pain relieved by Maalox and viscous lidocaine Dr Smith's ECG Blog

Initial

Anterior STEArrestSubtle Anterior MI ECG FOAM Steve Smith Chest pain relieved by Maalox and viscous lidocaine Dr Smith's ECG Blog

Posterior leads

LCx OcclusionPosterior Leads-ST Elevation in Posterior Leads V7-9 ECG FOAM Steve Smith Beware confusing the diagnosis of posterior STEMI by using posterior leads... Dr Smith's ECG Blog

Post cath

Wellens A ECG FOAM Steve Smith Subtle LAD Occlusion with Pseudonormalization of Wellens' Waves. Dr Smith's ECG Blog

54min later

AntLat MI ECG FOAM Steve Smith Subtle LAD Occlusion with Pseudonormalization of Wellens' Waves. Dr Smith's ECG Blog

Less than a month ago, at discharge

Subtle Anterior MI ECG FOAM Steve Smith Subtle LAD Occlusion with Pseudonormalization of Wellens' Waves. Dr Smith's ECG Blog