Nondiagnostic ECG - MedEd Library

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Prehospital

Nondiagnostic ECG ECG FOAM Alex Bracey, Pendell Meyers, et.al. Posterior leads can give false reassurance Dr Smith's ECG Blog

On discharge

Nondiagnostic ECG ECG FOAM Pendell Meyers, Salim Rezaie, et.al. Chest pain one day after a negative stress test Dr Smith's ECG Blog

Yesterday on presentation

Nondiagnostic ECG ECG FOAM Pendell Meyers, Salim Rezaie, et.al. Chest pain one day after a negative stress test 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

Serial again

Chest Pain Nondiagnostic ECG ECG FOAM Ken Grauer, Salim Rezaie, Steve Smith Why do we NOT name Occlusion MI (OMI) after an EKG finding? (In contrast to STEMI, which is named after ST Elevation) Dr Smith's ECG Blog

Serial

Chest Pain Nondiagnostic ECG ECG FOAM Ken Grauer, Salim Rezaie, Steve Smith Why do we NOT name Occlusion MI (OMI) after an EKG finding? (In contrast to STEMI, which is named after ST Elevation) Dr Smith's ECG Blog

Initial

Chest Pain Nondiagnostic ECG ECG FOAM Ken Grauer, Salim Rezaie, Steve Smith Why do we NOT name Occlusion MI (OMI) after an EKG finding? (In contrast to STEMI, which is named after ST Elevation) Dr Smith's ECG Blog

Prehospital

Chest Pain Nondiagnostic 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

2 days prior

Baseline ECG Nondiagnostic ECG ECG FOAM Alex Bracey, Lucas Goss, Pendell Meyers, Salim Rezaie, Steve Smith A 76 Year Old Female With Recurrent Syncope, Lightheadedness, Palpitations and Negative Stress Test Dr Smith's ECG Blog

Initial - symptom free

Nondiagnostic ECG ECG FOAM Alex Bracey, Lucas Goss, Pendell Meyers, Salim Rezaie, Steve Smith A 76 Year Old Female With Recurrent Syncope, Lightheadedness, Palpitations and Negative Stress Test Dr Smith's ECG Blog

Arrival

Tinv Nondiagnostic ECG Syncope ECG FOAM Ken Grauer, Aaron Robinson, Steve Smith Syncope and Chest Pressure, then an Unusual Bradycardia with Shock Dr Smith's ECG Blog

5.5 h later

High Lateral MI Nondiagnostic ECG ECG FOAM Steve Smith Chest pain with NonDiagnostic ECG but Diagnostic CT Scan Dr Smith's ECG Blog

1.5 h later

Nondiagnostic ECG ECG FOAM Steve Smith Chest pain with NonDiagnostic ECG but Diagnostic CT Scan Dr Smith's ECG Blog

Initial

Flat T Nondiagnostic ECG ECG FOAM Steve Smith Chest pain with NonDiagnostic ECG but Diagnostic CT Scan Dr Smith's ECG Blog

Prehospital limb leads

Limb Leads Nondiagnostic ECG ECG FOAM Steve Smith Serial Evolving ECGs all diagnostic of LAD OMI, but never meet STEMI criteria Dr Smith's ECG Blog

Initial

Chest Pain Nondiagnostic ECG ECG FOAM Pendell Meyers, Steve Smith Test yourself: how many hours between your diagnosis of OMI and positive STEMI criteria? Dr Smith's ECG Blog

25min later

Arrest Nondiagnostic ECG ECG FOAM Vince DiGiulio, Steve Smith Chest pain and a non-diagnostic ECG. No worries, right? Dr Smith's ECG Blog

9min later

Baseline Artefact Nondiagnostic ECG ECG FOAM Vince DiGiulio, Steve Smith Chest pain and a non-diagnostic ECG. No worries, right? Dr Smith's ECG Blog

Initial

Nondiagnostic ECG ECG FOAM Vince DiGiulio, Steve Smith Chest pain and a non-diagnostic ECG. No worries, right? Dr Smith's ECG Blog

Prehospital

Nondiagnostic ECG ECG FOAM Steve Smith Is this ECG diagnostic of coronary occlusion? Also: Inferior de Winter's T-waves on prehospital ECG?? 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

Prehospital

IVCD Long PR Nondiagnostic ECG ECG FOAM Pendell Meyers, Steve Smith A 50-something with h/o coronary bypass has chest pain and a ventricular paced rhythm Dr Smith's ECG Blog

Initial - severe pain

Left Axis Nondiagnostic ECG ECG FOAM Steve Smith A Middle-Aged Man with crescendo angina Dr Smith's ECG Blog

Initial

Nondiagnostic ECG Syncope ECG FOAM Steve Smith An 82 year old with syncope Dr Smith's ECG Blog

Resolved Arrest LAD occlusion Nondiagnostic ECG Sinus Tach ECG FOAM Steve Smith Why did this patient have ventricular fibrillation? Dr Smith's ECG Blog

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