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Baseline several months ago

Q Wave LAD MISerial ECG ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with acute chest pain and history of prior MI Dr Smith's ECG Blog

Initial

Chest PainQ Wave LAD MI ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with acute chest pain and history of prior MI Dr Smith's ECG Blog

After PCI

Post-Intervention ECGReperfusion T Wave ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

Next morning

Pathological Q WaveSerial ECG ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

Hours later

DynamicSerial ECGSTE ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

7h later

ReperfusionSerial ECG ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

5h later

Baseline ArtefactRe-occlusionSerial ECGSTE ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

4h later

Resolved HyperTSerial ECGResolved STE ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

1.5h later

Anterior MISerial ECG ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

1 hr later

Hyperacute T MI - TallSerial ECG ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

On arrival - in pain

Baseline ArtefactChest PainHyperacute T MI - Tall ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog
Hyperacute T MI - TallLate TransitionRecip STD ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

Leads replaced

Resolved High V1/V2Resolved STE SaddlebackSerial ECG ECG FOAM Steve Smith What is this ST Elevation? Dr Smith's ECG Blog

Initial

High V1/V2STE Saddleback ECG FOAM Steve Smith What is this ST Elevation? Dr Smith's ECG Blog
Digoxin Effect ECG FOAM Steve Smith What do you think when you see ST elevation or ST depression on the monitor? (A lesson on High Pass filtering from Christopher Watford) Dr Smith's ECG Blog

1 month later, post angiogram

Post-Intervention ECGReperfusionReperfusion T WaveTall T ECG FOAM Alex Bracey, Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here. Dr Smith's ECG Blog

Baseline - 4 yrs ago

Baseline ECG ECG FOAM Alex Bracey, Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here. Dr Smith's ECG Blog

Initial

Up-Down TChest PainInferior Wellens A MIPosterior Wellens MIReperfusionSinus BradyTall T ECG FOAM Alex Bracey, Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here. Dr Smith's ECG Blog

Next day

Delta WaveShort PRWPW ECG FOAM Pendell Meyers, Magnus Nossen, Steve Smith A woman in her 60s with palpitations Dr Smith's ECG Blog

During admission

ATachΔ RhythmRhythm Strip Only ECG FOAM Pendell Meyers, Magnus Nossen, Steve Smith A woman in her 60s with palpitations Dr Smith's ECG Blog

Post Cardioversion

Delta WaveShort PRWPW ECG FOAM Pendell Meyers, Magnus Nossen, Steve Smith A woman in her 60s with palpitations Dr Smith's ECG Blog

Initial

AF + RVRWCTWPW ECG FOAM Pendell Meyers, Magnus Nossen, Steve Smith A woman in her 60s with palpitations Dr Smith's ECG Blog

Baseline

ECG FOAM Ken Grauer, Steve Smith RBBB and LAFB: Is there a "concordance" of the ST segment in inferior leads? Is the ST depression in V3 due to RBBB only? Dr Smith's ECG Blog

Serial

-DynamicPESerial ECG ECG FOAM Lucas Goss, Pendell Meyers, Steve Smith A man in his 40s with RUQ abdominal pain Dr Smith's ECG Blog

Initial

-Wellens AConvex ST ElevationTinvPES1Q3T3Sinus Tach ECG FOAM Lucas Goss, Pendell Meyers, Steve Smith A man in his 40s with RUQ abdominal pain Dr Smith's ECG Blog