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Post-Intervention ECG
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Post-Intervention ECG
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Post angio
Post-Intervention ECG
Reperfusion T Wave
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
Later after PCI
Post-Intervention ECG
ECG FOAM
OMI can be very subtle and easy to miss, but be a very large infarction.
Dr Smith's ECG Blog
Post PCI
Post-Intervention ECG
Reperfusion T Wave
ECG FOAM
OMI can be very subtle and easy to miss, but be a very large infarction.
Dr Smith's ECG Blog
24h later
Post-Intervention ECG
ECG FOAM
Jesse McLaren, Steve Smith
Unconscious + STEMI criteria: activate the cath lab?
Dr Smith's ECG Blog
2 days later
Post-Intervention ECG
ECG FOAM
Steve Smith
Inferior ST Elevation and Hyperacute T-waves, but Patient is Pain Free. What is going on?
Dr Smith's ECG Blog
Next day
Post-Intervention ECG
ECG FOAM
Jesse McLaren, Pendell Meyers, et.al.
A woman in her 30s with several days of chest pain and an episode of altered mental status.
Dr Smith's ECG Blog
After PCI and arrest
Post-Intervention ECG
ECG FOAM
Jesse McLaren, Pendell Meyers, et.al.
A woman in her 30s with several days of chest pain and an episode of altered mental status.
Dr Smith's ECG Blog
After cardioversion
Post-Intervention ECG
ECG FOAM
Steve Smith
Very fast narrow complex tachycardia
Dr Smith's ECG Blog
Post cath
Post-Intervention ECG
Proximal LAD MI- RBBB
ECG FOAM
Pendell Meyers, Steve Smith
A man in his 50s with acute chest pain without STEMI criteria. Trop negative. Cath lab cancelled. But how about the ECG and echo?
Dr Smith's ECG Blog
Discharge
Post-Intervention ECG
RCA Occlusion
Reperfusion
ECG FOAM
Jesse McLaren, Pendell Meyers, et.al.
Chest pain and anterior ST depression. What’s the cause(s)?
Dr Smith's ECG Blog
NSR
Post-Intervention ECG
ECG FOAM
Bobby Nicholson, Pendell Meyers, et.al.
Back to basics: what is this rhythm? What are your options for treating this patient?
Dr Smith's ECG Blog
Next morning
Post-Intervention ECG
ECG FOAM
Steve Smith, Ken Grauer
I was shown this ECG without any information. What do you think?
Dr Smith's ECG Blog
36h post cath
Post-Intervention ECG
ECG FOAM
Pendell Meyers, Rachel Plate, et.al.
A man in his 70s with chest pain
Dr Smith's ECG Blog
Post cath 1030
Post-Intervention ECG
Reperfusion T Wave
ECG FOAM
A man in his 50s with acute chest pain and LVH
Dr Smith's ECG Blog
Next AM
Post-Intervention ECG
ECG FOAM
Steve Smith
Altered Mental Status, Tachycardia, Hypotension, Hyperglycemia, Ill appearing
Dr Smith's ECG Blog
Post resuscitation
Post-Intervention ECG
Resolved Shark Fin
ECG FOAM
Steve Smith
Does this single lead show a wide complex tachycardia?
Dr Smith's ECG Blog
Post cath
Post-Intervention ECG
Reperfusion T Wave
ECG FOAM
Alex Bracey, Pendell Meyers, Steve Smith
Watch what happens when "pericarditis" and morphine cloud your judgment
Dr Smith's ECG Blog
Post cath 2
Post-Intervention ECG
Reperfusion T Wave
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
Post cath 1
Post-Intervention ECG
Reperfusion T Wave
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
Post-Intervention ECG
Reperfusion T Wave
Serial ECG
ECG FOAM
Pendell Meyers, Steve Smith, Marie Wofford
Chest pain with ventricular paced rhythm - will you be able to rise above the STEMI paradigm and figure out what to do?
Dr Smith's ECG Blog
Serial 18:01 after 2g calcium gluconate
Post-Intervention ECG
Serial ECG
ECG FOAM
Ken Grauer, Pendell Meyers, Steve Smith
A 50s year old man with lightheadedness and bradycardia
Dr Smith's ECG Blog
Next day
Tinv
Post-Intervention ECG
Reperfusion T Wave
Serial ECG
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
After cath
Post-Intervention ECG
Serial ECG
Resolved 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 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
Post cath
Up-Down T
Post-Intervention ECG
Reperfusion
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
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