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Next day

Wellens AReperfusion T Wave ECG FOAM Steve Smith Reversible T-wave inversion -- it reverses, then evolves, then reverses when ischemia is gone. Normalization of T-waves, NOT pseudonormalization. Dr Smith's ECG Blog

2h later

Re-occlusion ECG FOAM Steve Smith Reversible T-wave inversion -- it reverses, then evolves, then reverses when ischemia is gone. Normalization of T-waves, NOT pseudonormalization. Dr Smith's ECG Blog

Initial

Wellens AReperfusion T Wave ECG FOAM Steve Smith Reversible T-wave inversion -- it reverses, then evolves, then reverses when ischemia is gone. Normalization of T-waves, NOT pseudonormalization. Dr Smith's ECG Blog

Pain recurred

Classic Inferoposterior MIRe-occlusion ECG FOAM Steve Smith Pseudonormalization of Inferior T-waves Dr Smith's ECG Blog

Pain free

TinvReperfusion T Wave ECG FOAM Steve Smith Pseudonormalization of Inferior T-waves Dr Smith's ECG Blog

Day 3

Ventricular Pacing ECG FOAM Steve Smith Bizarre T-wave inversion of Stokes Adams attack (syncope and complete AV block), with alternating RBBB and LBBB Dr Smith's ECG Blog

2h later

LBBBRBBB3°AVBVentricular Escape ECG FOAM Steve Smith Bizarre T-wave inversion of Stokes Adams attack (syncope and complete AV block), with alternating RBBB and LBBB Dr Smith's ECG Blog

Initial

Deeply Inverted T WaveSyncope3°AVBVentricular Escape ECG FOAM Steve Smith Bizarre T-wave inversion of Stokes Adams attack (syncope and complete AV block), with alternating RBBB and LBBB Dr Smith's ECG Blog
HypoKHypoMgLong QT ECG FOAM Steve Smith Altered Mental Status, possible ingestion. What does the ECG show? Dr Smith's ECG Blog

Post cardioversion

NSRPAC ECG FOAM Steve Smith Atrial Fibrillation with RVR and Inferoposterior ST elevation (Injury Pattern) Dr Smith's ECG Blog

Initial

AF + RVRGI BleedInf STESTD~Type II MI ECG FOAM Steve Smith Atrial Fibrillation with RVR and Inferoposterior ST elevation (Injury Pattern) Dr Smith's ECG Blog

EP study rhythm

Rhythm Strip OnlyVT ECG FOAM Steve Smith Young man with syncope while riding a bike [Arrhythmogenic Right Ventricular Dysplasia (ARVD)] Dr Smith's ECG Blog

3 days later

ARVDNondiagnostic ECGSyncope ECG FOAM Steve Smith Young man with syncope while riding a bike [Arrhythmogenic Right Ventricular Dysplasia (ARVD)] Dr Smith's ECG Blog
ARVDNondiagnostic ECGSyncope ECG FOAM Steve Smith Young man with syncope while riding a bike [Arrhythmogenic Right Ventricular Dysplasia (ARVD)] Dr Smith's ECG Blog
BiVTTox ECG FOAM Steve Smith A Southeast Asian with Tachycardia and Hypotension after taking a dangerous herbal medication (Bidirectional Ventricular Tachycardia from Aconite Poisoning) Dr Smith's ECG Blog
LAD occlusionLBBBCabreraReperfusion T Wave ECG FOAM Steve Smith Left Bundle Branch Block and Left Anterior Descending Artery occlusion: Serial ECGs then T-wave inversion after reperfusion Dr Smith's ECG Blog
LBBBCabreraLBBB Antero-Inf MI ECG FOAM Steve Smith Left Bundle Branch Block and Left Anterior Descending Artery occlusion: Serial ECGs then T-wave inversion after reperfusion Dr Smith's ECG Blog
LBBBLBBB Antero-Inf MI ECG FOAM Steve Smith Left Bundle Branch Block and Left Anterior Descending Artery occlusion: Serial ECGs then T-wave inversion after reperfusion Dr Smith's ECG Blog
ArrestRe-occlusion ECG FOAM Steve Smith Should we activate the cath lab if the STEMI is spontaneously reperfused? Dr Smith's ECG Blog
Hyperacute T MI - TallReperfusion ECG FOAM Steve Smith Should we activate the cath lab if the STEMI is spontaneously reperfused? Dr Smith's ECG Blog
Proximal LAD MI – aVR ECG FOAM Steve Smith Should we activate the cath lab if the STEMI is spontaneously reperfused? Dr Smith's ECG Blog

Next AM

Reperfusion T Wave ECG FOAM Steve Smith Wait until after the ECG to give Nitroglycerine Dr Smith's ECG Blog

Pain returns

Re-occlusionSubtle High Lateral MI ECG FOAM Steve Smith Wait until after the ECG to give Nitroglycerine Dr Smith's ECG Blog

Serial

Reperfusion ECG FOAM Steve Smith Wait until after the ECG to give Nitroglycerine Dr Smith's ECG Blog

Prehospital

High Lateral MI ECG FOAM Steve Smith Wait until after the ECG to give Nitroglycerine Dr Smith's ECG Blog