Anterior ST Elevation - MedEd Library

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Anterior STE Chest Pain HyperCa Short QT ECG FOAM Jesse McLaren, Steve Smith Chest pain, among other symptoms. What do you see? Dr Smith's ECG Blog

On arrival

Anterior STE HyperT Subtle 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

Anterior STE Normal QT Normal Variant ST Elevation Syncope ECG FOAM Steve Smith Massive ST Elevation in a 38 year old with Syncope Dr Smith's ECG Blog

1h after arrival

Anterior STE Hyperacute T MI - Bulky Serial ECG ECG FOAM Steve Smith Crushing Chest pain, Tachycardia, and Very Elevated Blood Pressure in a 40-something Man. Dr Smith's ECG Blog

6 minutes later

Anterior STE Hyperacute T MI - Tall Normal Variant ST Elevation Sinus Tach ECG FOAM Steve Smith Crushing Chest pain, Tachycardia, and Very Elevated Blood Pressure in a 40-something Man. Dr Smith's ECG Blog

Prehospital ECG 1

Anterior STE Chest Pain Hyperacute T MI - Tall -Normal Variant ST Elevation Sinus Tach ECG FOAM Steve Smith Crushing Chest pain, Tachycardia, and Very Elevated Blood Pressure in a 40-something Man. Dr Smith's ECG Blog

Next day

Anterior STE Late Transition Pathological Q Wave Subtle Anterior MI ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith A man in his 40s with chest pain reproducible with palpation Dr Smith's ECG Blog

Serial 2

Anterior STE Subtle Anterior MI ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith A man in his 40s with chest pain reproducible with palpation Dr Smith's ECG Blog

Serial 1

Anterior STE Subtle Anterior MI ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith A man in his 40s with chest pain reproducible with palpation Dr Smith's ECG Blog

Prior to transfer

Anterior STE Brady Reperfusion T Wave ECG FOAM Aaron Robinson, Steve Smith A 40-Something male with a "Seizure," Hypotension, and Bradycardia Dr Smith's ECG Blog

Anterior STE Hyperacute T MI - Tall Machine Interpretation Error Subtle Anterior MI ECG FOAM Steve Smith Acute Chest pain in a 50-something, and a "Normal" ECG Dr Smith's ECG Blog

35min later

Anterior STE Myocardial Bridging Type II MI ECG FOAM Steve Smith Tachycardia, fever to 105, and ischemic ST Elevation -- a Bridge too Far Dr Smith's ECG Blog

Initial

Anterior STE Normal Variant ST Elevation ECG FOAM Steve Smith Chest pain and Convex ST Elevation in Precordial Leads Dr Smith's ECG Blog

10min later

Anterior STE Normal Variant ST Elevation -Recip STD ECG FOAM Pendell Meyers, Steve Smith To activate or not to activate? Dr Smith's ECG Blog

Initial

Anterior STE Normal Variant ST Elevation ECG FOAM Pendell Meyers, Steve Smith To activate or not to activate? Dr Smith's ECG Blog

Serial - pain returns

Anterior STE Normal Variant ST Elevation ECG FOAM Pendell Meyers, Steve Smith To activate or not to activate? Dr Smith's ECG Blog

Prehospital

Anterior STE Normal Variant ST Elevation ECG FOAM Steve Smith I was texted this ECG: "Middle-aged male with Prehospital Cath Lab Activation" Dr Smith's ECG Blog

Initial

Anterior STE Normal Variant ST Elevation ECG FOAM Steve Smith I was texted this ECG: "Middle-aged male with Prehospital Cath Lab Activation" Dr Smith's ECG Blog

First 3 ECGs

Anterior STE Coronary Dissection ~Terminal QRS Distortion ECG FOAM Steve Smith Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics Dr Smith's ECG Blog

31min later

Anterior STE Normal Variant ST Elevation ~Pericarditis ECG FOAM Steve Smith High ST Elevation in a Patient with Acute Chest Pain Dr Smith's ECG Blog

Initial

Anterior STE Normal Variant ST Elevation ~Pericarditis ECG FOAM Steve Smith High ST Elevation in a Patient with Acute Chest Pain Dr Smith's ECG Blog

Anterior STE Hyperacute T MI - Tall LAD occlusion Machine Interpretation Error ~Terminal QRS Distortion ECG FOAM Steve Smith "This is not a Subtle ECG, right?" Dr Smith's ECG Blog

Anterior STE Hyperacute T MI - Bulky LAD occlusion Straight ST ECG FOAM Steve Smith Ed Burns (from Life in the Fast Lane) sent me this one.... Dr Smith's ECG Blog

Prior to cath

Anterior STE LAD occlusion Subtle Anterior MI ECG FOAM Steve Smith A 54 yo male with sudden chest pain. Computer says normal. Paramedic disagrees. Dr Smith's ECG Blog

Anterior STE LAD occlusion Subtle Anterior MI ECG FOAM Steve Smith A 54 yo male with sudden chest pain. Computer says normal. Paramedic disagrees. Dr Smith's ECG Blog

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