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Baseline Artefact ECG FOAM Arjun JV, Pendell Meyers, et.al. What is this rhythm? Back to basics. Dr Smith's ECG Blog
Baseline Artefact ECG FOAM Arjun JV, Pendell Meyers, et.al. What is this rhythm? Back to basics. Dr Smith's ECG Blog

Day 3 1210

Baseline ArtefactReperfusion T Wave ECG FOAM Parker Hambright, Jesse McLaren, Pendell Meyers, Steve Smith A man in his 50s with hypoxemic respiratory failure from COVID pneumonia develops chest pain Dr Smith's ECG Blog

Pain Free

Abdo PainBaseline ArtefactResolved Chest PainHTNNormal AngioSTD ECG FOAM Steve Smith All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing. Dr Smith's ECG Blog

5h later

Baseline ArtefactRe-occlusionSerial ECGSTE ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

On arrival - in pain

Baseline ArtefactChest PainHyperacute T MI - Tall ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

Serial

Baseline Artefact-DynamicMulti-Vessel DiseaseSerial ECG ECG FOAM Steve Smith Unstable Angina Still Exists in Era of high sensitivity troponin, with a short lesson on troponin interpretation Dr Smith's ECG Blog
Baseline Artefact-VT-WCT ECG FOAM Muscle Tremor Artifact ECG Learning Center

Initial

Baseline ArtefactLong QTSinus Tach ECG FOAM Steve Smith A New Seizure in a Healthy 20-something 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

5h later

Baseline ArtefactSTE ECG FOAM Alex Bracey, Lucas Goss, Pendell Meyers, Salim Rezaie, Steve Smith A 76 Year Old Female With Recurrent Syncope, Lightheadedness, Palpitations and Negative Stress Test Dr Smith's ECG Blog

Prehospital

Baseline ArtefactIsolated 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

Initial

AF + RVRBaseline ArtefactRate-related STD12-lead ECG FOAM Steve Smith Atrial Fibrillation w Rapid Ventricular Response and ST Depression Maximal V1-V4: Not always subendocardial. Dr Smith's ECG Blog

Serial

Baseline ArtefactClassic Inferior MICoronary Artery SpasmPVCBaseline wander ECG FOAM Pendell Meyers, Magnus Nossen, Steve Smith A woman in her 40s with palpitations and chest pressure of unusual etiology Dr Smith's ECG Blog
Baseline Artefact~Isolated Posterior MIMulti-Vessel DiseaseSTD12-leadSTD 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
Baseline ArtefactUp-Down TResolved HyperTSerial ECG ECG FOAM Steve Smith The Diagnosis of OMI does not depend on the ECG. But if you recognize it, that's great. 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

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
Resolved Baseline ArtefactSinus Tach ECG FOAM Tom Bouthillet, Ken Grauer, Steve Smith A 70-Something Woman with a Very Wide Tachycardia Dr Smith's ECG Blog
Baseline Artefact12-lead-WCT ECG FOAM Tom Bouthillet, Ken Grauer, Steve Smith A 70-Something Woman with a Very Wide Tachycardia Dr Smith's ECG Blog

After repeat labs

Atrial BigeminyBaseline ArtefactHydroxychloroquine toxicityHypoK (1.6)Long QT ECG FOAM Gia Coleman, Pendell Meyers, Steve Smith A Complication of the COVID Era Dr Smith's ECG Blog

Visit 0 - last ECG

Baseline ArtefactPathological Q Wave12-lead ECG FOAM Steve Smith A case of misinterpreted troponins, in spite of a very suspicious ECG.... Dr Smith's ECG Blog

Several days later

Baseline ArtefactSerial ECG12-lead ECG FOAM Pendell Meyers A man in his 50s with fever and shortness of breath Dr Smith's ECG Blog