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Hyperacute T MI - Bulky
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Initial
Chest Pain
Hyperacute T MI - Bulky
ECG FOAM
Steve Smith, Steven Souchtchenko
The ECG must be recorded at the right time, or the Occlusion (OMI) will be missed.
Dr Smith's ECG Blog
Initial
Chest Pain
Hyperacute T MI - Bulky
iRBBB
~Sinus Tach
ECG FOAM
Ken Grauer, Jesse McLaren, Steve Smith
Chest pain, trop >50,000 but only 30% LAD stenosis on angiogram: what's the diagnosis?
Dr Smith's ECG Blog
1h 30min later
Dynamic
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
1h 15min later
Dynamic
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
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
Triage 16:15
Hyperacute T MI - Bulky
ECG FOAM
Pendell Meyers, Steve Smith
A 52 year old female with chest pain
Dr Smith's ECG Blog
Hyperacute T MI - Bulky
12-lead
ECG FOAM
Steve Smith
This skill can be taught and learned
Dr Smith's ECG Blog
Hyperacute T MI - Bulky
ECG FOAM
Steve Smith
70 year old woman with non-exertional non-radiating chest discomfort
Dr Smith's ECG Blog
Prehospital chest leads
Hyperacute T MI - Bulky
Terminal QRS Distortion
ECG FOAM
Steve Smith
A 40-something healthy male with transient chest squeezing
Dr Smith's ECG Blog
Prehospital
Arrest
Hyperacute T MI - Bulky
ECG FOAM
James Alva, Pendell Meyers, Steve Smith
Would you have given thrombolytics to this NSTEMI patient?
Dr Smith's ECG Blog
Arrival at 40min
Hyperacute T MI - Bulky
Subtle Anterior MI
ECG FOAM
Steve Smith
Serial Evolving ECGs all diagnostic of LAD OMI, but never meet STEMI criteria
Dr Smith's ECG Blog
Prehospital 30min later
Chest Leads
Dynamic
Hyperacute T MI - Bulky
Serial ECG
ECG FOAM
Steve Smith
Serial Evolving ECGs all diagnostic of LAD OMI, but never meet STEMI criteria
Dr Smith's ECG Blog
Prehospital 25min later
Chest Leads
Dynamic
Hyperacute T MI - Bulky
ECG FOAM
Steve Smith
Serial Evolving ECGs all diagnostic of LAD OMI, but never meet STEMI criteria
Dr Smith's ECG Blog
Prehospital 25min later
Dynamic
Hyperacute T MI - Bulky
Limb Leads
ECG FOAM
Steve Smith
Serial Evolving ECGs all diagnostic of LAD OMI, but never meet STEMI criteria
Dr Smith's ECG Blog
Prehospital 20min later
Chest Leads
Hyperacute T MI - Bulky
ECG FOAM
Steve Smith
Serial Evolving ECGs all diagnostic of LAD OMI, but never meet STEMI criteria
Dr Smith's ECG Blog
Prehospital chest leads
Chest Leads
Chest Leads
Hyperacute T MI - Bulky
Hyperacute T MI - Bulky
ECG FOAM
Steve Smith
Serial Evolving ECGs all diagnostic of LAD OMI, but never meet STEMI criteria
Dr Smith's ECG Blog
Initial
Hyperacute T MI - Bulky
Machine Interpretation Error
Wraparound LAD MI
ECG FOAM
Cam Mosley, Steve Smith
The computer and the cardiologist called this a "Normal EKG"
Dr Smith's ECG Blog
Initial
Hyperacute T MI - Bulky
ECG FOAM
Pendell Meyers, Steve Smith
A man in his sixties with chest pain at midnight with undetectable troponin
Dr Smith's ECG Blog
Prehospital
Chest Pain
Hyperacute T MI - Bulky
ECG FOAM
Pendell Meyers
How long would you like to wait for your Occlusion MI to show a STEMI? Sometimes serial ECGs minimizes the delay.
Dr Smith's ECG Blog
35min later
Double Speed
Hyperacute T MI - Bulky
ECG FOAM
Peter Hammarlund, Steve Smith
A 65 year old with chest pain, ECG recorded at 50 mm/sec
Dr Smith's ECG Blog
Prehospital
Double Speed
Hyperacute T MI - Bulky
ECG FOAM
Peter Hammarlund, Steve Smith
A 65 year old with chest pain, ECG recorded at 50 mm/sec
Dr Smith's ECG Blog
40min later
Hyperacute T MI - Bulky
ECG FOAM
Pendell Meyers, Steve Smith
See what happens when hyperacute T-waves are missed
Dr Smith's ECG Blog
Arrival
Hyperacute T MI - Bulky
ECG FOAM
Pendell Meyers, Steve Smith
See what happens when hyperacute T-waves are missed
Dr Smith's ECG Blog
35min after pain returned
Hyperacute T MI - Bulky
ECG FOAM
Pendell Meyers, Steve Smith
Test yourself: how many hours between your diagnosis of OMI and positive STEMI criteria?
Dr Smith's ECG Blog
37h later, 5min after pain returned
Hyperacute T MI - Bulky
Sinus Tach
ECG FOAM
Pendell Meyers, Steve Smith
Test yourself: how many hours between your diagnosis of OMI and positive STEMI criteria?
Dr Smith's ECG Blog
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