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Isolated Posterior MI
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Initial
-Isolated Posterior MI
~RVH
Tall P
ECG FOAM
Steve Smith, Ken Grauer
What is going on in V2 and V3, with a troponin I rising to 1826 ng/L at 4 hours?
Dr Smith's ECG Blog
Initial
Isolated Posterior MI
LCx Occlusion
ECG FOAM
Steve Smith
Beware confusing the diagnosis of posterior STEMI by using posterior leads...
Dr Smith's ECG Blog
Active Chest Pain
Isolated Posterior MI
NSR
ECG FOAM
ECG of the Week - 22nd July 2013 - Interpretation
ECG of the Week
37 min later
Dynamic
HyperT
Isolated Posterior MI
Serial ECG
ECG FOAM
Steve Smith
Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping
Dr Smith's ECG Blog
23min later posterio leads
Dynamic
Isolated Posterior MI
Posterior Leads
ECG FOAM
Steve Smith
Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping
Dr Smith's ECG Blog
Posterior leads
Isolated Posterior MI
Posterior Leads
ECG FOAM
Steve Smith
Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping
Dr Smith's ECG Blog
Initial
Isolated Posterior MI
ECG FOAM
Steve Smith
Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping
Dr Smith's ECG Blog
3h after onset
Isolated Posterior MI
LVH
Serial ECG
ECG FOAM
Pendell Meyers, Steve Smith
Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia)
Dr Smith's ECG Blog
Initial
Chest Pain
Isolated Posterior MI
LVH
ECG FOAM
Pendell Meyers, Steve Smith
Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia)
Dr Smith's ECG Blog
Prehospital
Baseline Artefact
Isolated Posterior MI
ECG FOAM
Pendell Meyers, Steve Smith
Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia)
Dr Smith's ECG Blog
Post cardioversion #2
12-lead
AF
ECG FOAM
Isolated Posterior MI
-Type II MI
Dr Smith's ECG Blog
5 days later
12-lead
AF
ECG FOAM
Isolated Posterior MI
-Rate-related STD
Dr Smith's ECG Blog
Isolated Posterior MI
12-lead
ECG FOAM
Alex Bracey, Pendell Meyers, Steve Smith
When there is less than 1 mm of ST depression, can you make the diagnosis of posterior OMI?
Dr Smith's ECG Blog
Initial
Isolated Posterior MI
Multi-Vessel Disease
STD
STE
12-lead
ECG FOAM
Pendell Meyers, Steve Smith
Saw this ECG while reading through a stack. Lots here: myocardial stunning, MRI viability, P2Y12 inhibitors and CABG.
Dr Smith's ECG Blog
2 days later
Isolated Posterior MI
LV Aneurysm
STD
12-lead
ECG FOAM
Pendell Meyers, Steve Smith
A man in his early 40s with chest pain: STD in V1-V4, but posterior lead are negative
Dr Smith's ECG Blog
After cath
Isolated Posterior MI
Reperfusion T Wave
12-lead
ECG FOAM
Pendell Meyers, Steve Smith
A man in his early 40s with chest pain: STD in V1-V4, but posterior lead are negative
Dr Smith's ECG Blog
Posterior leads
Isolated Posterior MI
Posterior Leads
12-lead
ECG FOAM
Pendell Meyers, Steve Smith
A man in his early 40s with chest pain: STD in V1-V4, but posterior lead are negative
Dr Smith's ECG Blog
Triage
Isolated Posterior MI
12-lead
ECG FOAM
Pendell Meyers, Steve Smith
A man in his early 40s with chest pain: STD in V1-V4, but posterior lead are negative
Dr Smith's ECG Blog
Pain resolved
Resolved Chest Pain
Dynamic
~Isolated Posterior MI
12-lead
~Takotsubo
ECG FOAM
Michael Fischer, Steve Smith
Acute chest pain, ST Depression in V2 and V3, relief with Nitroglycerine, "normal" coronaries, and apical ballooning. Is it takotsubo?
Dr Smith's ECG Blog
Prehospital
~Isolated Posterior MI
STD
12-lead
~Takotsubo
ECG FOAM
Michael Fischer, Steve Smith
Acute chest pain, ST Depression in V2 and V3, relief with Nitroglycerine, "normal" coronaries, and apical ballooning. Is it takotsubo?
Dr Smith's ECG Blog
~Isolated Posterior MI
Multi-Vessel Disease
Serial ECG
STD
12-lead
ECG FOAM
Steve Smith
ST Depression Maximal in V1-V4 and Angio shows 3 Vessel Disease. Is it posterior? Which is the culprit?
Dr Smith's ECG Blog
Baseline Artefact
~Isolated Posterior MI
Multi-Vessel Disease
STD
12-lead
STD Widespread
ECG FOAM
Steve Smith
ST Depression Maximal in V1-V4 and Angio shows 3 Vessel Disease. Is it posterior? Which is the culprit?
Dr Smith's ECG Blog
Pain 10/10 again
Chest Pain
Isolated Posterior MI
STD
12-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 Ischaemia
HTN (238/118)
Isolated Posterior MI
STD
12-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
Serial
Arrest
Isolated Posterior MI
Missed MI
12-lead
ECG FOAM
Pendell Meyers, Steve Smith
Cardiologist declines taking patient to the cath lab. Patient dies.
Dr Smith's ECG Blog
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