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Triage 1750

Reperfusion T Wave12-leadSubtle Anterior MI ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith A 49 year old man with chest pain. Is it OMI? is it pseudonormalization? Dr Smith's ECG Blog

Serial 1806

Pseudo-Normal TRe-occlusion12-leadSubtle Anterior MI ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith A 49 year old man with chest pain. Is it OMI? is it pseudonormalization? Dr Smith's ECG Blog

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

1.5 h later

Coronary DissectionDynamicHyperTSerial ECG12-leadSubtle Anterior MI ECG FOAM Brandon Fetterolf, Pendell Meyers, Neha Ray, Steve Smith A woman in her 40s with acute chest pain Dr Smith's ECG Blog

Baseline

Baseline ECGLow QRS12-lead ECG FOAM Brandon Fetterolf, Pendell Meyers, Neha Ray, Steve Smith A woman in her 40s with acute chest pain Dr Smith's ECG Blog

Initial

Coronary DissectionHyperTLow QRS12-leadSubtle Anterior MI ECG FOAM Brandon Fetterolf, Pendell Meyers, Neha Ray, Steve Smith A woman in her 40s with acute chest pain 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
ATachDig ToxIrregWenckebach ECG FOAM Ken Grauer, Steve Smith A Fall and a Rhythm to Recognize Dr Smith's ECG Blog

Serial

DynamicHigh Lateral D1 MIResolved HyperTSerial ECG12-lead ECG FOAM Ken Grauer, Steve Smith The resident made the diagnosis immediately. The faculty was not as certain. Dr Smith's ECG Blog

Arrival

High Lateral D1 MI12-lead ECG FOAM Ken Grauer, Steve Smith The resident made the diagnosis immediately. The faculty was not as certain. Dr Smith's ECG Blog

Prehospital

High Lateral D1 MIHyperT12-lead ECG FOAM Ken Grauer, Steve Smith The resident made the diagnosis immediately. The faculty was not as certain. Dr Smith's ECG Blog
Classic Inferoposterior MIElectrical ArtefactHyperT12-lead ECG FOAM Ken Grauer, Pendell Meyers, Sonika Raj, Steve Smith A woman in her 60s with VFib arrest and no STEMI on her post-ROSC ECG. Dr Smith's ECG Blog
Subtle Inferoposterior MIBaseline wander ECG FOAM Ken Grauer, Pendell Meyers, Sonika Raj, Steve Smith A woman in her 60s with VFib arrest and no STEMI on her post-ROSC ECG. 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
Resolved Baseline Artefact ECG FOAM Ken Grauer, Steve Smith A 30-something Man with Chest Pain and this ECG Dr Smith's ECG Blog
Baseline Artefact12-lead ECG FOAM Ken Grauer, Steve Smith A 30-something Man with Chest Pain and this ECG 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