Hyperacute T Wave - MedEd Library

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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

HyperT LVH + LAD MI Serial ECG STD 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

Prehospital

~HyperT LBBB Sgarb Neg ECG FOAM Ken Grauer, Parker Hambright, Jesse McLaren, Pendell Meyers, Steve Smith A man in his 60s with dizziness, nausea, chest pain, and LBBB Dr Smith's ECG Blog

15:45

Resolved HyperT Reperfusion ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith Back to the basics. An elderly man with chest pain, no STEMI criteria, and troponin within normal limits. What does his ECG mean? Dr Smith's ECG Blog

Initial 12:45

Classic Inferoposterior MI HyperT ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith Back to the basics. An elderly man with chest pain, no STEMI criteria, and troponin within normal limits. What does his ECG mean? Dr Smith's ECG Blog

Repeat at 26h

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

Chest pain 24h later

Chest Pain HyperT Pseudo-Normal T Re-occlusion Serial ECG ECG FOAM Steve Smith When Normal is only Pseudo-Normal, it can deceive the caregivers. Dr Smith's ECG Blog

Pain recurred 8/10

Chest Pain HyperT Pseudo-Normal T Serial ECG ECG FOAM Steve Smith When Normal is only Pseudo-Normal, it can deceive the caregivers. 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

Initial - pain 7/10

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

Triage

Chest Pain De Winter T MI HyperT STD Upsloping ECG FOAM Pendell Meyers Instant easy save if you understand OMI, but incredibly dangerous if you only know STEMI. Readers of this blog will instantly understand this and save lives! Dr Smith's ECG Blog

4h later

Resolved HyperT Serial ECG Resolved 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

Initial

Abdo Pain Atrial Escape HyperT Subtle Inferoposterior MI Vomit ECG FOAM Alex Bracey, Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith Why is there inferior ST elevation, and would you get posterior leads? Dr Smith's ECG Blog

Post cath

Resolved HyperT Post-Intervention ECG ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Amandeep Singh, Steve Smith Quiz post - which of these, if any, are OMI? What is the South African Flag Sign? Will you activate the cath lab? Can you tell the difference on ECG? Dr Smith's ECG Blog

Chest Pain HyperT Myocarditis STE ECG FOAM Steve Smith A 30-something with Chest pain, elevated troponin, with Subtle ST Elevation and hyperacute T-waves. Dr Smith's ECG Blog

8 hrs post angio

Chest Pain Dynamic HyperT Pathological Q Wave Re-occlusion 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

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

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

15min later

HyperT Serial ECG Subtle Anterior MI ECG FOAM Alex Bracey, Lucas Goss, Pendell Meyers, Steve Smith A 60 year old man with chest pain -- many fascinating aspects to this ECG Dr Smith's ECG Blog

Initial

HyperT NSR Pathological Q Wave PVC Subtle Anterior MI Terminal QRS Distortion ECG FOAM Alex Bracey, Lucas Goss, Pendell Meyers, Steve Smith A 60 year old man with chest pain -- many fascinating aspects to this ECG Dr Smith's ECG Blog

Seial 19:11

Resolved HyperT Reperfusion ECG FOAM Pendell Meyers, Steve Smith A 52 year old female with chest pain Dr Smith's ECG Blog

Initial

HyperT LBBB Sgarb Neg Subtle Inferoposterior MI ECG FOAM Ken Grauer, Steve Smith Which Modified Sgarbossa Rule does this meet? And what is the Rhythm? Dr Smith's ECG Blog

Post intervention

Resolved HyperT Post-Intervention ECG Reperfusion T Wave 12-lead Subtle Inferoposterior MI ECG FOAM Ali Khan, Pendell Meyers A man in his 50s with chest pain and shortness of breath Dr Smith's ECG Blog

Initial

HyperT 12-lead Subtle Inferoposterior MI ECG FOAM Ali Khan, Pendell Meyers A man in his 50s with chest pain and shortness of breath Dr Smith's ECG Blog

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