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After stent

Post-Intervention ECGReperfusion T Wave ECG FOAM Steve Smith Chest pain, resolved: don't forget to look at the previous and the prehospital ECG Dr Smith's ECG Blog

6h later

Wellens AReperfusion T Wave ECG FOAM Steve Smith Chest pain, resolved: don't forget to look at the previous and the prehospital ECG Dr Smith's ECG Blog

2.5h later

Wellens AReperfusion T Wave ECG FOAM Steve Smith Chest pain, resolved: don't forget to look at the previous and the prehospital ECG Dr Smith's ECG Blog

Prehospital, in pain

Subtle Anterior MI ECG FOAM Steve Smith Chest pain, resolved: don't forget to look at the previous and the prehospital ECG Dr Smith's ECG Blog

Baseline 3 years ago

Baseline ECG ECG FOAM Steve Smith Chest pain, resolved: don't forget to look at the previous and the prehospital ECG Dr Smith's ECG Blog

Initial

Wellens ALAD occlusionReperfusion T Wave ECG FOAM Steve Smith Chest pain, resolved: don't forget to look at the previous and the prehospital ECG Dr Smith's ECG Blog
HypoCaHypoKLong QT ECG FOAM Steve Smith Two cases of the same electrolyte disturbance(s). Diagnosis? Dr Smith's ECG Blog
HypoCaHypoK (3.1)Long QTSTD ECG FOAM Steve Smith Two cases of the same electrolyte disturbance(s). Diagnosis? Dr Smith's ECG Blog

Post treatment

Post-Intervention ECG ECG FOAM Steve Smith Weakness, prolonged PR interval, wide complex, ventricular tachycardia Dr Smith's ECG Blog

Initial

HyperK (7.4) ECG FOAM Steve Smith Weakness, prolonged PR interval, wide complex, ventricular tachycardia Dr Smith's ECG Blog

18min later

Classic Inferoposterior MIJunctional EscapeLong PRRCA OcclusionSinus Brady ECG FOAM Steve Smith Inferior hyperacute T-waves. The clue is T-wave inversion in aVL. Serial ECGs evolve to ST Elevation. Dr Smith's ECG Blog

Right sided

Right Leads-ST Elevation in V4R ECG FOAM Steve Smith Inferior hyperacute T-waves. The clue is T-wave inversion in aVL. Serial ECGs evolve to ST Elevation. Dr Smith's ECG Blog

Initial

HyperTSubtle Inferior Reciprocal Change MI ECG FOAM Steve Smith Inferior hyperacute T-waves. The clue is T-wave inversion in aVL. Serial ECGs evolve to ST Elevation. Dr Smith's ECG Blog

Next day

Reperfusion T Wave ECG FOAM Steve Smith Hyperacute T-waves, missed by computer, short DBT, but large myocardial infarction Dr Smith's ECG Blog

Initial

HyperT ECG FOAM Steve Smith Hyperacute T-waves, missed by computer, short DBT, but large myocardial infarction Dr Smith's ECG Blog
Inf STELVHRecip STD2° Repol Δ ECG FOAM Steve Smith Not all cases with reciprocal ST depression are acute STEMI Dr Smith's ECG Blog

70min later

LBBBLBBB Inferopost MI ECG FOAM Steve Smith Cardiac Arrest, Wide Complex, Is it STEMI? Dr Smith's ECG Blog

Initial

ArrestLBBBLBBB Inferopost MISVT with AberrancyWCT ECG FOAM Steve Smith Cardiac Arrest, Wide Complex, Is it STEMI? Dr Smith's ECG Blog

Posterior leads

iLBBBPosterior LeadsST Elevation in Posterior Leads V7-9 ECG FOAM Steve Smith Incomplete LBBB, posterior STEMI, posterior leads, in a snowstorm Dr Smith's ECG Blog

Initial

Concordant STD V1-3iLBBBMulti-Vessel DiseaseSTD Widespread ECG FOAM Steve Smith Incomplete LBBB, posterior STEMI, posterior leads, in a snowstorm Dr Smith's ECG Blog

2 days later

ReperfusionVentricular Pacing ECG FOAM Steve Smith LAD occlusion in the setting of paced rhythm Dr Smith's ECG Blog

2 months ago

Baseline ECGVentricular Pacing ECG FOAM Steve Smith LAD occlusion in the setting of paced rhythm Dr Smith's ECG Blog

Initial

Paced Anterior MIVentricular Pacing ECG FOAM Steve Smith LAD occlusion in the setting of paced rhythm Dr Smith's ECG Blog
Anterior STESAHTakotsubo ECG FOAM Steve Smith Two more Cases of Takotsubo Stress Cardiomyopathy Dr Smith's ECG Blog
PVCReperfusion T Wave ECG FOAM Steve Smith Computer misses again -- two cases: one very obvious, one very subtle Dr Smith's ECG Blog