Pseudo-Normalised T Wave - MedEd Library

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Day 5

Pseudo-Normal T Re-occlusion STE ECG FOAM Parker Hambright, Jesse McLaren, Pendell Meyers, Steve Smith A man in his 50s with hypoxemic respiratory failure from COVID pneumonia develops chest pain Dr Smith's ECG Blog

Chest pain 24h later

Chest Pain HyperT Pseudo-Normal T Re-occlusion Serial ECG ECG FOAM Steve Smith When Normal is only Pseudo-Normal, it can deceive the caregivers. Dr Smith's ECG Blog

Pain recurred 8/10

Chest Pain HyperT Pseudo-Normal T Serial ECG ECG FOAM Steve Smith When Normal is only Pseudo-Normal, it can deceive the caregivers. Dr Smith's ECG Blog

Worsening pain 9/10

Chest Pain Pseudo-Normal T Re-occlusion Serial ECG Subtle Inferoposterior MI ECG FOAM Pendell Meyers, Steve Smith A Middle Aged Male diagnosed with Gastroesophageal Reflux Dr Smith's ECG Blog

4h20min later

Pseudo-Normal T Re-occlusion ECG FOAM Pendell Meyers, Steve Smith A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him? Dr Smith's ECG Blog

Serial 1806

Pseudo-Normal T Re-occlusion 12-lead Subtle Anterior MI ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith A 49 year old man with chest pain. Is it OMI? is it pseudonormalization? Dr Smith's ECG Blog

20min later

Coronary Dissection Long QT Pseudo-Normal T ECG FOAM Steve Smith 3 days of shoulder and chest pain, and now cardiogenic shock Dr Smith's ECG Blog

3h later

Dynamic LVH Pseudo-Normal T ECG FOAM Daniel Lee, Steve Smith A dialysis patient with nonspecific symptoms and pseudonormalization of ST segments Dr Smith's ECG Blog

Pain returned

Pseudo-Normal T Re-occlusion ECG FOAM Steve Smith Do you want to be interrupted to view what the computer calls normal or nonspecific ECGs? 2 cases at once! Dr Smith's ECG Blog

Initial

HyperT Pseudo-Normal T Subtle Inferoposterior MI ECG FOAM Pendell Meyers, Steve Smith A male in his 50s with chest pain. What is your interpretation? Dr Smith's ECG Blog

On arrival

AFlutter Variable Classic Inferoposterior MI Pseudo-Normal T RCA Occlusion ECG FOAM Steve Smith An 82 year old with syncope Dr Smith's ECG Blog

Next morning

PIRP Pseudo-Normal T STE ECG FOAM Steve Smith Initial Reperfusion T-waves, Followed by Pseudonormalization. Diagnosis? Dr Smith's ECG Blog

Chest pressure again

Pseudo-Normal T RCA Occlusion Subtle Inferoposterior MI ECG FOAM Steve Smith 2 Examples of Posterior Reperfusion T-waves Dr Smith's ECG Blog

Serial, pain returned

LAD occlusion Pseudo-Normal T Re-occlusion ECG FOAM Steve Smith A Middle-Age Male with Chest Pain that Recurs in the ED Dr Smith's ECG Blog

Serial

Pseudo-Normal T ECG FOAM Steve Smith Waxing and Waning Chest Pain Dr Smith's ECG Blog

Pain increasing

Pseudo-Normal T Re-occlusion ECG FOAM Steve Smith Pseudonormalization of Wellens' Waves Dr Smith's ECG Blog

2.5h later

Inf STE Pseudo-Normal T Re-occlusion ECG FOAM Steve Smith Pseudonormalization of T-waves: STEMI Dr Smith's ECG Blog

Day 2

High Lateral D1 MI Pseudo-Normal T WPW ECG FOAM Pendell Meyers, Steve Smith WPW mimicking and obscuring acute MI Dr Smith's ECG Blog

Initial, pain free

Old Anterior MI -Pseudo-Normal T ECG FOAM Steve Smith New upright T-wave that is NOT pseudonormalization Dr Smith's ECG Blog

Serial

Pseudo-Normal T Re-occlusion ECG FOAM Steve Smith Pseudonormalization of T waves, Coronary occlusion without 1 mm ST elevation Dr Smith's ECG Blog

Chest Pain Wellens A Dynamic Pseudo-Normal T Serial ECG ECG FOAM Ed Burns and Robert Buttner ECG Case 005 LITFL

With chest pain

Chest Pain Dynamic Pseudo-Normal T Serial ECG STE ECG FOAM John Larkin ECG Case 081 LITFL

Chest Pain Dynamic Pseudo-Normal T STD STE ECG FOAM ECG of the Week - 3rd July 2017 - Interpretation ECG of the Week