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Classic Inferior MI
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Classic Inferior MI
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Classic Inferior MI
Dynamic
Reperfusion T Wave
Serial ECG
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Inferior ST elevation with reciprocal change: which of these 4 patients has Occlusion MI?
Dr Smith's ECG Blog
Chest Pain
Classic Inferior MI
Sinus Brady
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Inferior ST elevation with reciprocal change: which of these 4 patients has Occlusion MI?
Dr Smith's ECG Blog
Classic Inferior MI
Limb Leads
ECG FOAM
Hyperacute T waves in inferior wall STEMI
ECG Learning Center
Classic Inferior MI
Right Leads
Right Ventricular MI – V4R
ECG FOAM
Inf MI with RV MI and R sided ECG leads
ECG Learning Center
Classic Inferior MI
Right Leads
Right Ventricular MI – V4R
ECG FOAM
Acute Inferoposterior MI with Right Ventricular MI
ECG Learning Center
Prehospital 1
~Classic Inferior MI
LOC
~PE
ECG FOAM
Steve Smith
Collapse, pulse present, ECG shows inferior OMI. Then there is loss of pulses with continued narrow complex on the monitor ("PEA arrest")
Dr Smith's ECG Blog
Serial
Classic Inferior MI
ECG FOAM
Pendell Meyers, Steve Smith, Brooks Walsh
Computer says "normal," troponin undetectable.
Dr Smith's ECG Blog
Post CABG
Anterior MI
Classic Inferior MI
Re-occlusion
12-lead
ECG FOAM
Steve Smith
Typical Chest Pain: Would you activate the cath lab? Would you advocate if the interventionalist was not interested?
Dr Smith's ECG Blog
Serial
Baseline Artefact
Classic Inferior MI
Coronary Artery Spasm
PVC
Baseline 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
Prehospital
-Classic Inferior MI
Normal Variant ST Elevation
STE Saddleback
12-lead
ECG FOAM
Pendell Meyers, Steve Smith
A man in his 60s with diaphoresis, vomiting, and inferior STE
Dr Smith's ECG Blog
Arrival
Resolved Arrest
Anterior MI
Classic Inferior MI
Coronary Dissection
Dynamic
Serial ECG
ECG FOAM
Steve Smith
Cardiac arrest with anterior-inferior STEMI: Guess the value of the initial ED high sensitivity Abbott troponin I
Dr Smith's ECG Blog
Prehospital
Anterior MI
Classic Inferior MI
Coronary Dissection
12-lead
ECG FOAM
Steve Smith
Cardiac arrest with anterior-inferior STEMI: Guess the value of the initial ED high sensitivity Abbott troponin I
Dr Smith's ECG Blog
Prior to transfer
Classic Inferior MI
Right Leads
12-lead
ECG FOAM
Pendell Meyers, Steve Smith
Serial ECGs highly suspicious for inferior OMI: Give thrombolytics prior to transfer for PCI?
Dr Smith's ECG Blog
Day 3
Classic Inferior MI
Pathological Q Wave
Post-Intervention ECG
STE
ECG FOAM
Pendell Meyers
A man in his 30s with 12 hours of chest pain; is the ECG consistent with 12 hours of occlusion?
Dr Smith's ECG Blog
Several hours post cath
Classic Inferior MI
HyperT
ECG FOAM
Pendell Meyers
A man in his 30s with 12 hours of chest pain; is the ECG consistent with 12 hours of occlusion?
Dr Smith's ECG Blog
Serial 2322
Classic Inferior MI
ECG FOAM
Tom Fiero, Pendell Meyers, Steve Smith
A 41 year old with chest pain and a Nondiagnostic Triage ECG. Thrombolytics prior to transfer for PCI.
Dr Smith's ECG Blog
Classic Inferior MI
Concave ST Elevation
1°AVB
Sinus Brady
ECG FOAM
Pendell Meyers, Steve Smith
ST segment concavity is just one small piece of the puzzle that is pattern recognition
Dr Smith's ECG Blog
Serial
Classic Inferior MI
Recip STD
ECG FOAM
Steve Smith
A 40 yo with Chest pain. Only ECG abnormality is minimal ST depression in I and aVL (computer interpretation: normal)
Dr Smith's ECG Blog
Arrival
Classic Inferior MI
ECG FOAM
Steve Smith
Inferolateral STEMI: is there right ventricular MI also?
Dr Smith's ECG Blog
Prehospital
Classic Inferior MI
ECG FOAM
Steve Smith
Inferolateral STEMI: is there right ventricular MI also?
Dr Smith's ECG Blog
Serial still in pain
Classic Inferior MI
Right Ventricular MI - V1
ECG FOAM
Steve Smith
The Interventionalist Refuses Angiography, and even to speak to the Emergency Physician
Dr Smith's ECG Blog
Right leads
Classic Inferior MI
Right Leads
-ST Elevation in V4R
ECG FOAM
Steve Smith
A 50-something woman with chest pain and 2 "normal" ECGs at triage
Dr Smith's ECG Blog
Prehospital
Chest Leads
Classic Inferior MI
ECG FOAM
Steve Smith
Is there a Right Ventricular MI in addition to Infero-postero-lateral MI?
Dr Smith's ECG Blog
Initial
Baseline Artefact
-Classic Inferior MI
Pericarditis
PR depress
Sinus Tach
ECG FOAM
Steve Smith
Chest Pain and Inferior ST Elevation.
Dr Smith's ECG Blog
Post cath 1
Classic Inferior MI
Pathological Q Wave
ECG FOAM
Alex Bracey, Pendell Meyers, Steve Smith
A male in his 60s with chest pain
Dr Smith's ECG Blog
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