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RCA Occlusion
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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
Excess Disc. STE
RCA Occlusion
Syncope
3°AVB
Ventricular Escape
ECG FOAM
Ken Grauer, Andy Lichtenheld, Steve Smith
A 70-something woman with syncope and a wide complex
Dr Smith's ECG Blog
Initial
Excess Disc. STD
Excess Disc. STE
RCA Occlusion
Right Ventricular MI - V1
LBBB Inferopost MI
Syncope
3°AVB
ECG FOAM
Ken Grauer, Andy Lichtenheld, Steve Smith
A 70-something woman with syncope and a wide complex
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
9min later
RCA Occlusion
Subtle Inferoposterior MI
ECG FOAM
Steve Smith
An 82 year old with syncope
Dr Smith's ECG Blog
Pacing off
Brady
Lateral STE
RCA Occlusion
3°AVB
ECG FOAM
Steve Smith
Hours out of the OR for valve replacement surgery: patient with paced rhythm becomes hemodynamically unstable
Dr Smith's ECG Blog
Serial
RCA Occlusion
Sgarbossa Paced Lateral MI
Ventricular Pacing
ECG FOAM
Steve Smith
Hours out of the OR for valve replacement surgery: patient with paced rhythm becomes hemodynamically unstable
Dr Smith's ECG Blog
After treatment
Missed MI
RCA Occlusion
Subtle Lateral MI
ECG FOAM
Steve Smith
Pericarditis? Or STEMI? The difference can be fatal.
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
After GTN
Anterior STE
Dynamic
RCA Occlusion
Serial ECG
ECG FOAM
Steve Smith, Brooks Walsh
Anterorlateral STEMI? Old Anterior MI? But cath shows RCA thrombotic stenosis.
Dr Smith's ECG Blog
Initial
Old Anterior MI
RCA Occlusion
Subtle Anterior MI
ECG FOAM
Steve Smith, Brooks Walsh
Anterorlateral STEMI? Old Anterior MI? But cath shows RCA thrombotic stenosis.
Dr Smith's ECG Blog
Electrodes misplaced
Classic Inferoposterior MI
RCA Occlusion
ECG FOAM
Steve Smith
What is the culprit vessel?
Dr Smith's ECG Blog
Initial
Misplaced
-High Lateral D1 MI
RCA Occlusion
ECG FOAM
Steve Smith
What is the culprit vessel?
Dr Smith's ECG Blog
Next AM
RCA Occlusion
Resolved Subtle Inferior Reciprocal Change MI
ECG FOAM
Steve Smith
A Case of Clinical Unstable Angina in the ED
Dr Smith's ECG Blog
Initial
LBBB
Notched S Wave Nadir
Notched Wide R Wave
RCA Occlusion
Sinus Brady
ECG FOAM
Steve Smith
Left Bundle Branch Block with Subacute STEMI
Dr Smith's ECG Blog
10h later
RCA Occlusion
Reperfusion T Wave
ECG FOAM
Steve Smith
Chest Pain: What do you see on the ECG?
Dr Smith's ECG Blog
Initial
RCA Occlusion
Subtle Inferoposterior MI
ECG FOAM
Steve Smith
Chest Pain: What do you see on the ECG?
Dr Smith's ECG Blog
Posterior Leads
RCA Occlusion
Right Leads
Right Ventricular MI – V4R
ECG FOAM
Steve Smith, Elisha Targonsky
What is the infarct artery? (Complex analysis, in this case)
Dr Smith's ECG Blog
Post resuscitation from VF arrest
Arrest
LBBB
RCA Occlusion
LBBB Antero-Inf MI
ECG FOAM
Steve Smith
Some Cardiologists still are not familiar with Sgarbossa Criteria.....
Dr Smith's ECG Blog
Biphasic T
Junctional Escape
RCA Occlusion
Subtle Inferoposterior MI
ECG FOAM
Steve Smith
Middle Aged Male with Burning Chest Pain -- Assess the Entire Clinical Scenario
Dr Smith's ECG Blog
Hypotensive and bradycardic
Dynamic
RCA Occlusion
Reperfusion T Wave
Sinus Brady
ECG FOAM
Steve Smith
Sudden Left Trapezius Pain and Syncope
Dr Smith's ECG Blog
Right leads
RCA Occlusion
Right Ventricular MI – V4R
ECG FOAM
Steve Smith
Inferior and Posterior STEMI. What else?
Dr Smith's ECG Blog
Classic Inferoposterior MI
Pathological Q Wave
RCA Occlusion
RCA Occlusion
Right Ventricular MI - V1
ECG FOAM
Steve Smith
Inferior and Posterior STEMI. What else?
Dr Smith's ECG Blog
Pain free
RCA Occlusion
Reperfusion T Wave
ECG FOAM
Steve Smith
Waxing and Waning Chest Pain
Dr Smith's ECG Blog
Post cath
RCA Occlusion
Reperfusion T Wave
ECG FOAM
Steve Smith
Prehospital Inferior STEMI: Bedside Echo in ED is normal
Dr Smith's ECG Blog
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