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Left Ventricular Hypertrophy
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Left Ventricular Hypertrophy
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Post 12mg adenosine
Rhythm Strip Only
SVT with Aberrancy
ECG FOAM
Steve Smith
Very fast narrow complex tachycardia
Dr Smith's ECG Blog
Post 12mg adenosine
Rhythm Strip Only
SVT with Aberrancy
ECG FOAM
Steve Smith
Very fast narrow complex tachycardia
Dr Smith's ECG Blog
Post adenosine
Rhythm Strip Only
SVT with Aberrancy
ECG FOAM
Steve Smith
Very fast narrow complex tachycardia
Dr Smith's ECG Blog
2 days later
LVH
ECG FOAM
Pendell Meyers, Steve Smith
Opiate overdose, without chest pain or shortness of breath. Cognitive dissonance.
Dr Smith's ECG Blog
Chest Pain
LVH
-LVH + LAD MI
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
Bsaseline 3
Aortic Stenosis
Baseline ECG
LVH
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Dominic Nicacio, Steve Smith
A man in his 30s with chest pain and a normal bedside echo, without wall motion abnormality
Dr Smith's ECG Blog
Bsaseline 2
Baseline ECG
LVH
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Dominic Nicacio, Steve Smith
A man in his 30s with chest pain and a normal bedside echo, without wall motion abnormality
Dr Smith's ECG Blog
Bsaseline 1
Aortic Stenosis
Baseline ECG
LVH
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Dominic Nicacio, Steve Smith
A man in his 30s with chest pain and a normal bedside echo, without wall motion abnormality
Dr Smith's ECG Blog
Triage - 1.5h pain
Aortic Stenosis
Chest Pain
Coronary Embolism
LVH
LVH + LAD MI
NSR
Recip STD
STE
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Dominic Nicacio, Steve Smith
A man in his 30s with chest pain and a normal bedside echo, without wall motion abnormality
Dr Smith's ECG Blog
Visit 3 - discharge
LVH
2° Repol Δ
Serial ECG
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab?
Dr Smith's ECG Blog
Visit 3 - first ECG
Chest Pain
LVH
2° Repol Δ
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab?
Dr Smith's ECG Blog
Visit 2 - post cath
LVH
Post-Intervention ECG
2° Repol Δ
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab?
Dr Smith's ECG Blog
Visit 1 - last ECG
LVH
2° Repol Δ
Serial ECG
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab?
Dr Smith's ECG Blog
Visit 1 - first ECG
Chest Pain
LVH
2° Repol Δ
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab?
Dr Smith's ECG Blog
Visit 2 - first ECG
Chest Pain
LVH
2° Repol Δ
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab?
Dr Smith's ECG Blog
Next day
Chest Pain
Tinv
LVH
2° Repol Δ
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Acute chest pain and a difficult ECG
Dr Smith's ECG Blog
Later that day
LVH
2° Repol Δ
Serial ECG
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Acute chest pain and a difficult ECG
Dr Smith's ECG Blog
Pain resolved
Resolved Chest Pain
Resolved Tinv
LVH
Serial ECG
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Acute chest pain and a difficult ECG
Dr Smith's ECG Blog
Baseline
Baseline ECG
LVH
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Acute chest pain and a difficult ECG
Dr Smith's ECG Blog
Triage
LVH
2° Repol Δ
Serial ECG
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Acute chest pain and a difficult ECG
Dr Smith's ECG Blog
Initial
Chest Pain
LVH
Nondiagnostic ECG
ECG FOAM
Steve Smith
Does a Single Troponin below the 99th percentile URL Rule out Acute MI if the Chest pain is very prolonged?
Dr Smith's ECG Blog
LVH
ECG FOAM
LVH - Best seen in the frontal plane leads!-KH
ECG Learning Center
LVH
Left Ventricular Strain
ECG FOAM
LVH: Strain pattern + Left Atrial Enlargement-KH
ECG Learning Center
LVH
ECG FOAM
LVH: Limb Lead Criteria-KH
ECG Learning Center
LVH
ECG FOAM
LVH with limb-lead voltage criteria
ECG Learning Center
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