Dynamic Changes - MedEd Library

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After troponin

Dynamic ECG FOAM Alex Bracey, Pendell Meyers, et.al. Chest pain, and Cardiology didn't take the hint from the ICD Dr Smith's ECG Blog

5h later, pain free

Dynamic ECG FOAM Steve Smith Unstable Angina still exists. It can be missed especially high sensitivity troponin is not used. Sometimes you can catch it on the ECG. Dr Smith's ECG Blog

4h later, pain free

Dynamic ECG FOAM Steve Smith Unstable Angina still exists. It can be missed especially high sensitivity troponin is not used. Sometimes you can catch it on the ECG. Dr Smith's ECG Blog

3h later, after D50 and insulin

Dynamic ECG FOAM Steve Smith Unstable Angina still exists. It can be missed especially high sensitivity troponin is not used. Sometimes you can catch it on the ECG. Dr Smith's ECG Blog

After first troponin

Dynamic Baseline wander ECG FOAM 65 year old with syncope and a 'normal' ECG: discharge home? Dr Smith's ECG Blog

Serial

Dynamic Serial ECG ECG FOAM Steve Smith 45 year old with chest pain Dr Smith's ECG Blog

Serial 2

Dynamic -Pericarditis ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith Watch what happens when "pericarditis" and morphine cloud your judgment Dr Smith's ECG Blog

Serial

-Dynamic Serial ECG ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith Watch what happens when "pericarditis" and morphine cloud your judgment Dr Smith's ECG Blog

6h later pain free

Coronary Dissection Resolved Dynamic ECG FOAM Angie Lobo, Steve Smith, Brooks Walsh A young peripartum woman with Chest Pain Dr Smith's ECG Blog

Δ Rhythm Coronary Artery Spasm Dynamic HyperT Rhythm Strip Only Shark Fin ECG FOAM Pendell Meyers, Magnus Nossen, Steve Smith Fascinating case of dynamic shark fin morphology - what is going on? Dr Smith's ECG Blog

Serial 17:00

Dynamic HyperT Serial ECG STE Wraparound LAD MI 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

Dynamic LVH + LAD MI Serial ECG ECG FOAM Jesse McLaren, Steve Smith Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion Dr Smith's ECG Blog

Serial #2

Benign Tinv -Dynamic Serial ECG ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith Chest pain, shortness of breath, T wave inversion, and rising troponin in a young healthy runner. Dr Smith's ECG Blog

Next morning

Dynamic Reperfusion T Wave Serial ECG ECG FOAM Ken Grauer, Steve Smith RBBB and LAFB: Is there a "concordance" of the ST segment in inferior leads? Is the ST depression in V3 due to RBBB only? Dr Smith's ECG Blog

Pain resolving 3/10

Resolved Chest Pain Dynamic Resolved HyperT Serial ECG ECG FOAM Steve Smith When Normal is only Pseudo-Normal, it can deceive the caregivers. Dr Smith's ECG Blog

Prehospital

Chest Pain Dynamic ECG FOAM Steve Smith All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing. Dr Smith's ECG Blog

Recurrent pain 1h later

Chest Pain Dynamic Serial ECG Resolved STD ECG FOAM Steve Smith All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing. Dr Smith's ECG Blog

15 min later

Chest Pain De Winter T MI Dynamic Serial ECG ECG FOAM John Larkin ECG Case 085 LITFL

Up-Down T Resolved Chest Pain Wellens A Dynamic Serial ECG ECG FOAM ECG of the Week - 3rd July 2017 - Interpretation ECG of the Week

Discharge

Discordant ST -Dynamic Sgarb Neg Serial ECG ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith Chest pain + troponin of 1600 + LBBB + 6mm ST elevation = occlusion MI, right? Dr Smith's ECG Blog

Baseline

Baseline ECG -Dynamic ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith Chest pain + troponin of 1600 + LBBB + 6mm ST elevation = occlusion MI, right? Dr Smith's ECG Blog

2.5h later

Up-Down T Coronary Dissection Dynamic Reperfusion T Wave Serial ECG ECG FOAM Brandon Fetterolf, Pendell Meyers, Steve Smith A woman in her 30s with sudden chest pain, nausea, and diaphoresis. Was her cardiology management appropriate? Dr Smith's ECG Blog

25min later

Coronary Dissection Dynamic ~High Lateral D1 MI STE ECG FOAM Brandon Fetterolf, Pendell Meyers, Steve Smith A woman in her 30s with sudden chest pain, nausea, and diaphoresis. Was her cardiology management appropriate? Dr Smith's ECG Blog

Hours later

Dynamic Serial ECG STE 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

-Dynamic PE Serial ECG ECG FOAM Lucas Goss, Pendell Meyers, Steve Smith A man in his 40s with RUQ abdominal pain Dr Smith's ECG Blog

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