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Post cath 2

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

Post cath 1

LV AneurysmPathological 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

4h20min later

Pseudo-Normal TRe-occlusion 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

4h later

Reperfusion T WaveSerial ECG 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

2.5h later

DynamicPathological Q WaveSerial ECGSTESubtle Anterior MI 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

Baseline

Baseline ECG 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

On arrival

Anterior STEHyperTSubtle Anterior MI 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
-AFlutterAtrial Tach ECG FOAM Pendell Meyers A woman in her 60s with misdiagnosed palpitations, part 2: Case follow up! Dr Smith's ECG Blog

Post cath

DynamicReperfusion T Wave ECG FOAM Alex Bracey, Benjamin Garbus, Pendell Meyers, Steve Smith Chest pain in a 30-something: Is it Normal variant STE or OMI? Get the prior ECG, and don't trust Point of Care troponin assays! Dr Smith's ECG Blog

15 min later

Baseline ArtefactDynamicHyperacute T MI - Tall ECG FOAM Alex Bracey, Benjamin Garbus, Pendell Meyers, Steve Smith Chest pain in a 30-something: Is it Normal variant STE or OMI? Get the prior ECG, and don't trust Point of Care troponin assays! Dr Smith's ECG Blog

Baseline - 2 months ago

Baseline ECG ECG FOAM Alex Bracey, Benjamin Garbus, Pendell Meyers, Steve Smith Chest pain in a 30-something: Is it Normal variant STE or OMI? Get the prior ECG, and don't trust Point of Care troponin assays! Dr Smith's ECG Blog

Triage

Chest PainHyperacute T MI - Tall ECG FOAM Alex Bracey, Benjamin Garbus, Pendell Meyers, Steve Smith Chest pain in a 30-something: Is it Normal variant STE or OMI? Get the prior ECG, and don't trust Point of Care troponin assays! Dr Smith's ECG Blog
Anterior STENormal QTNormal Variant ST ElevationSyncope ECG FOAM Steve Smith Massive ST Elevation in a 38 year old with Syncope Dr Smith's ECG Blog

The next day

Resolved LAFB + RBBBPathological Q WavePost-Intervention ECG ECG FOAM Pendell Meyers Cardiac Arrest at the airport, with an easy but important ECG for everyone to recognize Dr Smith's ECG Blog

En route to hospital

ArrestConcordant STELAFB + RBBBLong PRProx LAD MI - BifascSinus Tach ECG FOAM Pendell Meyers Cardiac Arrest at the airport, with an easy but important ECG for everyone to recognize Dr Smith's ECG Blog

Baseline

Baseline ECG ECG FOAM Pendell Meyers A woman in her 60s with palpitations, chest discomfort, and multiple misdiagnoses by both EM and Cardiology!! Dr Smith's ECG Blog

2 hours later, again symptomatic

Atrial Tach ECG FOAM Pendell Meyers A woman in her 60s with palpitations, chest discomfort, and multiple misdiagnoses by both EM and Cardiology!! Dr Smith's ECG Blog

20 min later, symptom free

Resolved Atrial TachSinus Tach ECG FOAM Pendell Meyers A woman in her 60s with palpitations, chest discomfort, and multiple misdiagnoses by both EM and Cardiology!! Dr Smith's ECG Blog

Triage, while symptomatic

-AFlutterAtrial Tach-Inf STEInv PTa Wave ECG FOAM Pendell Meyers A woman in her 60s with palpitations, chest discomfort, and multiple misdiagnoses by both EM and Cardiology!! Dr Smith's ECG Blog

Baseline 2

Baseline ECGLVH ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with anterior ST elevation and a "tall T wave in V1" Dr Smith's ECG Blog

Baseline 1

Baseline ECGLVH ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with anterior ST elevation and a "tall T wave in V1" Dr Smith's ECG Blog
LVH-LVH + LAD MINormal Variant ST ElevationSTE SaddlebackSTE ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with anterior ST elevation and a "tall T wave in V1" Dr Smith's ECG Blog

Soon after

Sinus Tach ECG FOAM Steve Smith Narrow Complex Tachycardia at a Rate of 220 Dr Smith's ECG Blog

Just prior to planned cardioversion

2:1 P:QRSAFlutter ECG FOAM Steve Smith Narrow Complex Tachycardia at a Rate of 220 Dr Smith's ECG Blog

Initial

1:1 P:QRSAFlutterNarrow QRSSTDSVT ECG FOAM Steve Smith Narrow Complex Tachycardia at a Rate of 220 Dr Smith's ECG Blog