Re-occlusion - MedEd Library

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13h later

Re-occlusion ECG FOAM Jesse McLaren, Steve Smith Dueling OMI: does this 30 year old with chest pain have any signs of occlusion or reperfusion? Dr Smith's ECG Blog

1815

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

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

Day 4

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

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

5h later

Baseline Artefact Re-occlusion Serial ECG STE ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

8 hrs post angio

Chest Pain Dynamic HyperT Pathological Q Wave Re-occlusion ECG FOAM Ken Grauer, Jesse McLaren, Steve Smith Chest pain, trop >50,000 but only 30% LAD stenosis on angiogram: what's the diagnosis? 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

11h later, after cath

Post-Intervention ECG Re-occlusion ECG FOAM Alex Bracey, Kaley El-Arab, Pendell Meyers, Steve Smith A 64 year old man with chest tightness Dr Smith's ECG Blog

Post CABG

Anterior MI Classic Inferior MI Re-occlusion 12-lead ECG FOAM Steve Smith Typical Chest Pain: Would you activate the cath lab? Would you advocate if the interventionalist was not interested? Dr Smith's ECG Blog

12min later, in pain

Anterior MI Re-occlusion 12-lead ECG FOAM Steve Smith See this: Occlusion/Reperfusion/Re-occlusion/Reperfusion/Re-occlusion/Reperfusion 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

Arrival

Classic Inferoposterior MI Re-occlusion ECG FOAM Aaron Robinson, Steve Smith A 40-Something male with a "Seizure," Hypotension, and Bradycardia Dr Smith's ECG Blog

03:51

Re-occlusion Subtle Anterior MI ECG FOAM Pendell Meyers, Steve Smith The delay between OMI and STEMI claims yet another patient's anterior wall Dr Smith's ECG Blog

Day 2, 23:41

Anterior MI Re-occlusion ECG FOAM Pendell Meyers, Steve Smith, Nic Thompson A Tale of 2 Occlusions in the Same Patient: one with Expert ECG interpretation, the Other Without Dr Smith's ECG Blog

Day 2, 22:30

Anterior MI Re-occlusion ECG FOAM Pendell Meyers, Steve Smith, Nic Thompson A Tale of 2 Occlusions in the Same Patient: one with Expert ECG interpretation, the Other Without Dr Smith's ECG Blog

Day 2 6h later

Re-occlusion ECG FOAM Pendell Meyers, Steve Smith, Nic Thompson A Tale of 2 Occlusions in the Same Patient: one with Expert ECG interpretation, the Other Without Dr Smith's ECG Blog

Day 2 1h later

HyperT Re-occlusion ECG FOAM Pendell Meyers, Steve Smith, Nic Thompson A Tale of 2 Occlusions in the Same Patient: one with Expert ECG interpretation, the Other Without Dr Smith's ECG Blog

9min later

Arrest Re-occlusion ECG FOAM Pendell Meyers, Steve Smith Prehospital OMI recognized immediately by a fantastic paramedic 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

2 days post discharge

AntLat MI HyperT Re-occlusion ECG FOAM Pendell Meyers, Steve Smith Chest pain and a "normal" ECG 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

6h later

Anterior STE LAD occlusion Re-occlusion ECG FOAM Steve Smith Male in early 40's with 1.5 hours of chest pain Dr Smith's ECG Blog

Pain again

Multi-Vessel Disease RCA Occlusion Re-occlusion ECG FOAM Steve Smith A Non STEMI that needs the cath lab now. Dr Smith's ECG Blog

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