LAD occlusion - MedEd Library

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33min later

LAD occlusion -Transient MI ECG FOAM Jesse McLaren, Pendell Meyers Two 70 year olds with chest pain, and 3 pitfalls of the STEMI paradigm Dr Smith's ECG Blog

LAD occlusion Sgarbossa Paced Lateral MI ECG FOAM Pendell Meyers, Steve Smith I'm so sorry when medics get abused for activating the cath lab Dr Smith's ECG Blog

LAD occlusion Sgarbossa Paced Lateral MI ECG FOAM Pendell Meyers, Steve Smith I'm so sorry when medics get abused for activating the cath lab Dr Smith's ECG Blog

Serial

Anterior MI Hyperacute T MI - Tall LAD occlusion ECG FOAM Steve Smith I was reading a stack of ECGs yesterday, and saw this one, with no clinical information.... Dr Smith's ECG Blog

Anterior STE Hyperacute T MI - Tall LAD occlusion Machine Interpretation Error ~Terminal QRS Distortion ECG FOAM Steve Smith "This is not a Subtle ECG, right?" Dr Smith's ECG Blog

21min later

HyperT LAD occlusion Recip STD Subtle Lateral MI ECG FOAM Steve Smith Prehospital ECG looks very suspicious to the paramedic Dr Smith's ECG Blog

Initial

Hyperacute T MI - Bulky LAD occlusion Recip STD Subtle Lateral MI ECG FOAM Steve Smith Prehospital ECG looks very suspicious to the paramedic Dr Smith's ECG Blog

Anterior STE Hyperacute T MI - Bulky LAD occlusion Straight ST ECG FOAM Steve Smith Ed Burns (from Life in the Fast Lane) sent me this one.... Dr Smith's ECG Blog

1h after arrival

Anterior MI LAD occlusion ECG FOAM Steve Smith Serial ECG recordings are essential: paramedic makes a great call! Dr Smith's ECG Blog

A few min later, pain 7/10

Chest Pain LAD occlusion Subtle Anterior MI ECG FOAM Steve Smith Serial ECG recordings are essential: paramedic makes a great call! Dr Smith's ECG Blog

Initial, pain 8/10

Chest Pain LAD occlusion Nondiagnostic ECG ECG FOAM Steve Smith Serial ECG recordings are essential: paramedic makes a great call! Dr Smith's ECG Blog

Prior to cath

Anterior STE LAD occlusion Subtle Anterior MI ECG FOAM Steve Smith A 54 yo male with sudden chest pain. Computer says normal. Paramedic disagrees. Dr Smith's ECG Blog

Anterior STE LAD occlusion Subtle Anterior MI ECG FOAM Steve Smith A 54 yo male with sudden chest pain. Computer says normal. Paramedic disagrees. Dr Smith's ECG Blog

Initial

Concordant STE HyperT LAD occlusion RBBB ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith What is lurking underneath this new right bundle branch block? Dr Smith's ECG Blog

Arrival

AntLat MI LAD occlusion ECG FOAM Steve Smith It is not a STEMI; it is an opportunity to save myocardium! Dr Smith's ECG Blog

Prehospital

Hyperacute T MI - Tall HyperT LAD occlusion ECG FOAM Steve Smith It is not a STEMI; it is an opportunity to save myocardium! Dr Smith's ECG Blog

Anterior STE Arrest LAD occlusion Left Axis Subtle Anterior MI VF ECG FOAM Steve Smith A middle-aged woman with chest pain and a "normal" ECG in triage Dr Smith's ECG Blog

30min after previous

Dynamic LAD occlusion Proximal LAD MI – aVR STE STD Widespread ECG FOAM Joseph Ryan, Steve Smith How can you persuade your cardiologist to take a Non-STEMI patient to the cath lab emergently? Dr Smith's ECG Blog

3h later

LAD occlusion Proximal LAD MI – aVR STE STD Widespread ECG FOAM Joseph Ryan, Steve Smith How can you persuade your cardiologist to take a Non-STEMI patient to the cath lab emergently? Dr Smith's ECG Blog

30sec after second defib

AntLat MI LAD occlusion ECG FOAM Pendell Meyers, Steve Smith Chest pain and a "normal" ECG Dr Smith's ECG Blog

Serial

AntLat MI LAD occlusion ECG FOAM Steve Smith 30 yo woman with chest pain and a "normal ECG" by the computer, this one prehospital Dr Smith's ECG Blog

Serial

AntLat MI LAD occlusion ECG FOAM Steve Smith 30 yo woman with chest pain and a "normal ECG" by the computer, this one prehospital Dr Smith's ECG Blog

AntLat MI LAD occlusion ECG FOAM Steve Smith 15 hours of chest pain. Too late for thrombolytics, right? Unstable Angina still exists. Dr Smith's ECG Blog

t=68min

Anterior STE Dynamic LAD occlusion Subtle Anterior MI ECG FOAM Steve Smith A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS Dr Smith's ECG Blog

Initial, pain free

Up-Down T Wellens A LAD occlusion ECG FOAM Steve Smith 2 Cases of Resolved Chest Pain with Dynamic Terminal T-wave Inversion Dr Smith's ECG Blog

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