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Pain improved

DynamicReperfusionSerial ECG12-leadSubtle High Lateral MI ECG FOAM Steve Smith The cardiologist disagreed with cath lab activation. What do you think? Dr Smith's ECG Blog

Worse pain

AIVR ECG FOAM Steve Smith The cardiologist disagreed with cath lab activation. What do you think? Dr Smith's ECG Blog

Initial

STDSTE12-leadSubtle High Lateral MI ECG FOAM Steve Smith The cardiologist disagreed with cath lab activation. What do you think? Dr Smith's ECG Blog

Pain 10/10 again

Chest PainIsolated Posterior MISTD12-lead ECG FOAM Steve Smith Chest pain, ST Depression maximal in V2-V4, and a Blood Pressure of 238/118. Dr Smith's ECG Blog

Resolved pain after GTN

Resolved HTNSerial ECGResolved STD12-lead ECG FOAM Steve Smith Chest pain, ST Depression maximal in V2-V4, and a Blood Pressure of 238/118. Dr Smith's ECG Blog

Initial

~Diffuse Subendocardial IschaemiaHTN (238/118)Isolated Posterior MISTD12-lead ECG FOAM Steve Smith Chest pain, ST Depression maximal in V2-V4, and a Blood Pressure of 238/118. Dr Smith's ECG Blog
2:1 P:QRS-Biphasic THidden PSlow AFlutter12-lead ECG FOAM Steve Smith A Covid patient with cough and Fever. Why does the ST-T wave look so abnormal? Dr Smith's ECG Blog

Day 3

Low QRSMyocarditis ECG FOAM Steve Smith Extreme shock and cardiac arrest in COVID patient Dr Smith's ECG Blog

On ECMO

Baseline ArtefactLow QRSMyocarditis ECG FOAM Steve Smith Extreme shock and cardiac arrest in COVID patient Dr Smith's ECG Blog

That afternoon, in shock

-HyperTLow QRSMyocarditisSTE ECG FOAM Steve Smith Extreme shock and cardiac arrest in COVID patient Dr Smith's ECG Blog

Initial

Baseline ArtefactLow QRS ECG FOAM Steve Smith Extreme shock and cardiac arrest in COVID patient Dr Smith's ECG Blog
Hyperacute T MI - Bulky12-lead ECG FOAM Steve Smith This skill can be taught and learned Dr Smith's ECG Blog

After PCI

Reperfusion T Wave ECG FOAM Steve Smith Deepening T-wave inversion one week after STEMI. Is it new Ischemia/infarction? Dr Smith's ECG Blog

Initial

Classic Inferoposterior MI12-lead ECG FOAM Steve Smith Deepening T-wave inversion one week after STEMI. Is it new Ischemia/infarction? Dr Smith's ECG Blog

1 day after PCI

Reperfusion T Wave ECG FOAM Steve Smith Deepening T-wave inversion one week after STEMI. Is it new Ischemia/infarction? Dr Smith's ECG Blog

7 days after PCI

Deeply Inverted T WaveReperfusion T Wave12-lead ECG FOAM Steve Smith Deepening T-wave inversion one week after STEMI. Is it new Ischemia/infarction? Dr Smith's ECG Blog
~High V1/V2STE Saddleback12-lead ECG FOAM Steve Smith Is this Septal STEMI/OMI? Many examples of Septal STEMI/OMI Dr Smith's ECG Blog
Wellens AReperfusion T Wave12-lead ECG FOAM Steve Smith A 40-something male complains of worrisome chest pain and possible "fever" Dr Smith's ECG Blog
STE12-leadSubtle Anterior MI ECG FOAM Steve Smith A 40-something male complains of worrisome chest pain and possible "fever" Dr Smith's ECG Blog

Post PCI

Post-Intervention ECG12-lead ECG FOAM Steve Smith Dynamic ST Elevation Dr Smith's ECG Blog

Arrival

DynamicSerial ECGSTDSTE12-leadSubtle Inferoposterior MITransient MI ECG FOAM Steve Smith Dynamic ST Elevation Dr Smith's ECG Blog

Prehospital 2

DynamicSerial ECGSTE12-lead ECG FOAM Steve Smith Dynamic ST Elevation Dr Smith's ECG Blog

Prehospital

Chest PainSTD12-lead ECG FOAM Steve Smith Dynamic ST Elevation Dr Smith's ECG Blog

Serial

Accel JunctionalBenign TinvIsorhythmic DissociationSinus Arrhythmia12-lead ECG FOAM Steve Smith Not all new T-wave inversion signifies ischemia. Also, what is this irregular rhythm? Dr Smith's ECG Blog

Baseline

Baseline ECGBenign TinvTinvShort QT12-lead ECG FOAM Steve Smith Not all new T-wave inversion signifies ischemia. Also, what is this irregular rhythm? Dr Smith's ECG Blog