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45 min later, pain persistent

Anterior MI ECG FOAM Pendell Meyers, Steve Smith Is this ST elevation normal or abnormal? Dr Smith's ECG Blog

Triage

HyperTSubtle Anterior MI ECG FOAM Pendell Meyers, Steve Smith Is this ST elevation normal or abnormal? Dr Smith's ECG Blog
LVH ECG FOAM Steve Smith Profound ST Elevation in V1-V3. What do you think? Dr Smith's ECG Blog

Post PCI

Post-Intervention ECGResolved STD ECG FOAM Steve Smith Intermittent increasing exertional chest pain and serial negative troponins Dr Smith's ECG Blog

7h later

DynamicSerial ECG ECG FOAM Steve Smith Intermittent increasing exertional chest pain and serial negative troponins Dr Smith's ECG Blog

Initial

TinvSTD ECG FOAM Steve Smith Intermittent increasing exertional chest pain and serial negative troponins Dr Smith's ECG Blog

Serial

DynamicSerial ECG ECG FOAM Steve Smith, Brooks Walsh The computer calls this a “normal ECG”. We'll just keep making this point. Dr Smith's ECG Blog

Initial

Machine Interpretation ErrorSubtle Inferoposterior MI ECG FOAM Steve Smith, Brooks Walsh The computer calls this a “normal ECG”. We'll just keep making this point. Dr Smith's ECG Blog

2 hours post PCI

Post-Intervention ECGReperfusion T Wave ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith A woman in her 70s with chest pain Dr Smith's ECG Blog

Prior to cath

Reperfusion T WaveSubtle Anterior MI ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith A woman in her 70s with chest pain Dr Smith's ECG Blog

Serial

Anterior MIReperfusion T Wave ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith A woman in her 70s with chest pain Dr Smith's ECG Blog

Triage

Subtle Anterior MI ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith A woman in her 70s with chest pain Dr Smith's ECG Blog
Long PRNSR ECG FOAM Steve Smith, Brooks Walsh Wide-complex tachycardia: VT, aberrant, or "other?" Dr Smith's ECG Blog
AFlutterWCT ECG FOAM Steve Smith, Brooks Walsh Wide-complex tachycardia: VT, aberrant, or "other?" Dr Smith's ECG Blog

Post PCI 2 days later

Up-Down T ECG FOAM Steve Smith Dynamic, Reversible, Ischemic T-wave inversion mimics Wellens'. All trops negative. Dr Smith's ECG Blog

90min later

DynamicSerial ECG ECG FOAM Steve Smith Dynamic, Reversible, Ischemic T-wave inversion mimics Wellens'. All trops negative. Dr Smith's ECG Blog

Initial

Up-Down T ECG FOAM Steve Smith Dynamic, Reversible, Ischemic T-wave inversion mimics Wellens'. All trops negative. Dr Smith's ECG Blog

Post cath 2

Post-Intervention ECGVentricular PacingResolved STD Widespread ECG FOAM Pendell Meyers Can you see through this wide complex rhythm? Dr Smith's ECG Blog

Post cath 1

Post-Intervention ECGVentricular PacingResolved STD Widespread ECG FOAM Pendell Meyers Can you see through this wide complex rhythm? Dr Smith's ECG Blog

Serial without pacing

AFECG FOAMSTD Widespread Dr Smith's ECG Blog

Serial with pacing

Ventricular PacingSTD Widespread ECG FOAM Pendell Meyers Can you see through this wide complex rhythm? Dr Smith's ECG Blog

Baseline

Baseline ECGVentricular Pacing ECG FOAM Pendell Meyers Can you see through this wide complex rhythm? Dr Smith's ECG Blog

Initial

Diffuse Subendocardial IschaemiaMulti-Vessel DiseaseVentricular PacingSTD Widespread ECG FOAM Pendell Meyers Can you see through this wide complex rhythm? Dr Smith's ECG Blog

Post treatment

Resolved HyperKResolved HypoCa ECG FOAM Steve Smith Found comatose with prehospital ECG showing "bigeminal PVCs" and "Tachycardia at a rate of 156" Dr Smith's ECG Blog

Initial

HyperKHypoCaLong QTPeaked T ECG FOAM Steve Smith Found comatose with prehospital ECG showing "bigeminal PVCs" and "Tachycardia at a rate of 156" Dr Smith's ECG Blog