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LAD occlusionProximal LAD MI- RBBBRBBB ECG FOAM Steve Smith Right Bundle Branch Block with Subtle ST Elevation: LAD 95% occluded Dr Smith's ECG Blog
LMCA StenosisST Elevation in aVRSTD Widespread ECG FOAM Steve Smith Deep and widespread ST depression signifies high risk coronary lesion Dr Smith's ECG Blog
HypoK (2.3)Long QTTall U ECG FOAM Steve Smith Diabetic Ketoacidosis: is there hypokalemia? Dr Smith's ECG Blog

Post cath

Pathological Q WavePost-Intervention ECG ECG FOAM Steve Smith Very subtle anterior STEMI, TIMI II flow with thrombus Dr Smith's ECG Blog

Initial

Resolved ArrestLAD occlusionSubtle Anterior MI ECG FOAM Steve Smith Very subtle anterior STEMI, TIMI II flow with thrombus Dr Smith's ECG Blog

Baseline

Baseline ECGRBBB ECG FOAM Steve Smith Right Bundle Branch Block (RBBB) with Anterolateral STEMI Dr Smith's ECG Blog

Initial

Proximal LAD MI- RBBBRBBB ECG FOAM Steve Smith Right Bundle Branch Block (RBBB) with Anterolateral STEMI Dr Smith's ECG Blog

Post cath

Post-Intervention ECGRCA OcclusionReperfusion ECG FOAM Steve Smith Pseudonormalization of T waves, Coronary occlusion without 1 mm ST elevation Dr Smith's ECG Blog

Serial

Pseudo-Normal TRe-occlusion ECG FOAM Steve Smith Pseudonormalization of T waves, Coronary occlusion without 1 mm ST elevation Dr Smith's ECG Blog

Initial

Wellens B MIRCA OcclusionReperfusion T Wave ECG FOAM Steve Smith Pseudonormalization of T waves, Coronary occlusion without 1 mm ST elevation Dr Smith's ECG Blog

Posterior leads

LA/RAMulti-Vessel DiseasePosterior LeadsRBBB ECG FOAM Steve Smith Posterior ST Elevation MI in the Setting of Right Bundle Branch Block, with Posterior Leads V7-V9 Dr Smith's ECG Blog

Initial

Posterior + RBBB MIRBBB ECG FOAM Steve Smith Posterior ST Elevation MI in the Setting of Right Bundle Branch Block, with Posterior Leads V7-V9 Dr Smith's ECG Blog
AFResolved ArrestECG FOAMInf STEPosterior + RBBB MIRCA OcclusionRBBBST Elevation in a PVC Dr Smith's ECG Blog

Arrival

ArrestLeft Main OcclusionLong PRRBBBShark FinSinus TachST Elevation in aVRSTD Widespread ECG FOAM Steve Smith Probable Left Main coronary artery occlusion/obstruction, with STE in aVR, alternating BBB, and arrest Dr Smith's ECG Blog

Prehospital

iLBBBSinus TachST Elevation in aVRSTD Widespread ECG FOAM Steve Smith Probable Left Main coronary artery occlusion/obstruction, with STE in aVR, alternating BBB, and arrest Dr Smith's ECG Blog
RBBBRVH ECG FOAM Steve Smith Severe Right Ventricular Hypertrophy Dr Smith's ECG Blog
Anterior STELVH2° Repol Δ ECG FOAM Steve Smith Left Ventricular Hypertrophy May Result in Profound ST Elevation Dr Smith's ECG Blog

Initial

HyperK (7.3)Metabolic AcidosisWide QRS ECG FOAM Steve Smith Altered Mental Status, Tachycardia, Hypotension, Hyperglycemia, Ill appearing Dr Smith's ECG Blog
Machine Interpretation Error-PericarditisTerminal QRS DistortionWidespread STEWraparound LAD MI ECG FOAM Steve Smith The computer is often wrong Dr Smith's ECG Blog
Baseline ECGLV Aneurysm ECG FOAM Steve Smith Persistent ST elevation after previous MI, otherwise known as "LV aneurysm" morphology Dr Smith's ECG Blog
LV AneurysmSinus Tach ECG FOAM Steve Smith Persistent ST elevation after previous MI, otherwise known as "LV aneurysm" morphology Dr Smith's ECG Blog

Initial

LV Aneurysm ECG FOAM Steve Smith Persistent ST elevation after previous MI, otherwise known as "LV aneurysm" morphology Dr Smith's ECG Blog
HyperTSubtle Inferoposterior MI ECG FOAM Steve Smith Inferior Hyperacute T-waves Dr Smith's ECG Blog

Follow up

Post-Intervention ECG ECG FOAM Steve Smith Acute anterior STEMI from LAD occlusion, or Benign Early Repolarization (BER)??? Dr Smith's ECG Blog

30min later

DynamicSerial ECGStraight STSubtle Anterior MI ECG FOAM Steve Smith Acute anterior STEMI from LAD occlusion, or Benign Early Repolarization (BER)??? Dr Smith's ECG Blog