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Post cardioversion

NSRResolved 2° Repol Δ ECG FOAM Steve Smith Is this ST depression due to OMI or due to subendocardial ischemia? This is critical to distinguish, and this is a trick case! Dr Smith's ECG Blog

Initial

AF + RVR2° Repol Δ ECG FOAM Steve Smith Is this ST depression due to OMI or due to subendocardial ischemia? This is critical to distinguish, and this is a trick case! Dr Smith's ECG Blog

Baseline

Short PRWPW ECG FOAM Steve Smith A 19 year old with panic attacks. On the previous ECG, the diagnosis was missed, as it frequently is! Dr Smith's ECG Blog

Initial

Delta WaveSOBWPW ECG FOAM Steve Smith A 19 year old with panic attacks. On the previous ECG, the diagnosis was missed, as it frequently is! Dr Smith's ECG Blog

Prehospital 3

~Classic Inferoposterior MI~PE ECG FOAM Steve Smith Collapse, pulse present, ECG shows inferior OMI. Then there is loss of pulses with continued narrow complex on the monitor ("PEA arrest") Dr Smith's ECG Blog

Prehospital 2

Arrest ECG FOAM Steve Smith Collapse, pulse present, ECG shows inferior OMI. Then there is loss of pulses with continued narrow complex on the monitor ("PEA arrest") Dr Smith's ECG Blog

Prehospital 1

~Classic Inferior MILOC~PE ECG FOAM Steve Smith Collapse, pulse present, ECG shows inferior OMI. Then there is loss of pulses with continued narrow complex on the monitor ("PEA arrest") Dr Smith's ECG Blog

Post intubation

Sinus TachSTDSAHTakotsubo ECG FOAM Ken Grauer, Steve Smith Agitation, Confusion, and Unusual Wide Complex Tachycardia. What is it, why did it occur, and how to treat? Dr Smith's ECG Blog

Initial

~BiVTChanging QRS AxisSAHTakotsubo ECG FOAM Ken Grauer, Steve Smith Agitation, Confusion, and Unusual Wide Complex Tachycardia. What is it, why did it occur, and how to treat? Dr Smith's ECG Blog
HypoK (2.8)Long QTVent Bigeminy ECG FOAM Steve Smith What are these bizarre bigeminal PVCs?? Dr Smith's ECG Blog
Chest PainLAFB + RBBBLeft Main Occlusion with New Bifascicular BlockSinus Tach ECG FOAM Pendell Meyers, Steve Smith A deadly alcohol binge: a man in his 30s with chest pain and initial high sensitivity troponin I within normal limits Dr Smith's ECG Blog

3 days later

Resolved 2°AVBSerial ECG ECG FOAM Johanna Moore, Steve Smith Acute Pulmonary Edema, PEA Arrest, LBBB, First degree AV Block, and STD maximal in V3, V4 Dr Smith's ECG Blog

After PCI

Post-Intervention ECGResolved 2°AVB ECG FOAM Johanna Moore, Steve Smith Acute Pulmonary Edema, PEA Arrest, LBBB, First degree AV Block, and STD maximal in V3, V4 Dr Smith's ECG Blog

60min later

Tinv2°AVB 2:1Serial ECG ECG FOAM Johanna Moore, Steve Smith Acute Pulmonary Edema, PEA Arrest, LBBB, First degree AV Block, and STD maximal in V3, V4 Dr Smith's ECG Blog

30 min later

DynamicWenckebachSerial ECG ECG FOAM Johanna Moore, Steve Smith Acute Pulmonary Edema, PEA Arrest, LBBB, First degree AV Block, and STD maximal in V3, V4 Dr Smith's ECG Blog

Initial

Resolved ArrestConcordant STD V1-31°AVBLBBBMulti-Vessel Disease ECG FOAM Johanna Moore, Steve Smith Acute Pulmonary Edema, PEA Arrest, LBBB, First degree AV Block, and STD maximal in V3, V4 Dr Smith's ECG Blog
Delta Wave2° Repol ΔWPW ECG FOAM Pendell Meyers, Steve Smith I thought the ECG diagnosis was obvious. But many missed it. So I'm showing it. Dr Smith's ECG Blog

Standing

Long QT ECG FOAM Steve Smith A New Seizure in a Healthy 20-something Dr Smith's ECG Blog

Serial

Long QT ECG FOAM Steve Smith A New Seizure in a Healthy 20-something Dr Smith's ECG Blog

Next day

Long QTTall U ECG FOAM Steve Smith A New Seizure in a Healthy 20-something Dr Smith's ECG Blog

Initial

Baseline ArtefactLong QTSinus Tach ECG FOAM Steve Smith A New Seizure in a Healthy 20-something Dr Smith's ECG Blog

Repeat

Classic Inferoposterior MIReperfusion T Wave ECG FOAM Steve Smith Hyperkalemia: is it the cause of this AV Block, ST Elevation, and T-wave inversion? Dr Smith's ECG Blog

Prehospital

Classic Inferoposterior MIReperfusion T Wave3°AVB ECG FOAM Steve Smith Hyperkalemia: is it the cause of this AV Block, ST Elevation, and T-wave inversion? Dr Smith's ECG Blog

Arrival

Classic Inferoposterior MIInf STEJunctional EscapeNarrow QRSRecip STDReperfusion T WaveSinus TachTall T3°AVB ECG FOAM Steve Smith Hyperkalemia: is it the cause of this AV Block, ST Elevation, and T-wave inversion? Dr Smith's ECG Blog

Post cath 3

Pathological Q WaveReperfusion T Wave ECG FOAM Pendell Meyers, Steve Smith A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him? Dr Smith's ECG Blog