Reciprocal ST Depression - MedEd Library

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De Winter T MI Recip STD ECG FOAM Steve Smith What happens if you don't recognize Hyperacute T-waves? Dr Smith's ECG Blog

Triage - 1.5h pain

Aortic Stenosis Chest Pain Coronary Embolism LVH LVH + LAD MI NSR Recip STD 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

Hyperacute T MI - Tall Late Transition Recip STD 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

Arrival

Classic Inferoposterior MI Inf STE Junctional Escape Narrow QRS Recip STD Reperfusion T Wave Sinus Tach Tall T 3°AVB ECG FOAM Steve Smith Hyperkalemia: is it the cause of this AV Block, ST Elevation, and T-wave inversion? Dr Smith's ECG Blog

Up-Down T Machine Interpretation Error Recip STD STE 12-lead Subtle Anterior MI ECG FOAM Brooks Walsh Trust a computer read of "Normal ECG" at your peril! Dr Smith's ECG Blog

Initial

Hyperacute T MI - Tall Recip STD 12-lead Subtle Anterior MI ECG FOAM Steve Smith A 53 year old with chest pressure has a diagnostic EKG (EKG 1). What is it? Chest pressure resolves (EKG 2) Dr Smith's ECG Blog

Downsloping TP Segment -HyperT Inf STE ~Normal Variant ST Elevation ~Pericarditis -Recip STD 12-lead ECG FOAM Pendell Meyers, Steve Smith A 30-something with inferior ST Elevation. OMI? Pericarditis? Normal Variant ST Elevation? Dr Smith's ECG Blog

Initial

Up-Down T Coronary Dissection Recip STD Reperfusion T Wave ECG FOAM Angie Lobo, Steve Smith, Brooks Walsh A young peripartum woman with Chest Pain Dr Smith's ECG Blog

Serial

Classic Inferior MI Recip STD ECG FOAM Steve Smith A 40 yo with Chest pain. Only ECG abnormality is minimal ST depression in I and aVL (computer interpretation: normal) Dr Smith's ECG Blog

40min later

Recip STD Subtle Inferior Reciprocal Change MI ECG FOAM Steve Smith A 40 yo with Chest pain. Only ECG abnormality is minimal ST depression in I and aVL (computer interpretation: normal) Dr Smith's ECG Blog

Initial

Recip STD Subtle Inferior Reciprocal Change MI ECG FOAM Steve Smith A 40 yo with Chest pain. Only ECG abnormality is minimal ST depression in I and aVL (computer interpretation: normal) Dr Smith's ECG Blog

Initial

HyperT Recip STD Slow Atrial Fibrillation Subtle Inferoposterior MI ECG FOAM Pendell Meyers Two cases texted to me for concern of inferior hyperacute T waves and a flipped T in aVL - do either, neither, or both need emergent reperfusion? Dr Smith's ECG Blog

10min later

Anterior STE Normal Variant ST Elevation -Recip STD ECG FOAM Pendell Meyers, Steve Smith To activate or not to activate? Dr Smith's ECG Blog

21min later

HyperT LAD occlusion Recip STD Subtle Lateral MI ECG FOAM Steve Smith Prehospital ECG looks very suspicious to the paramedic Dr Smith's ECG Blog

Initial

Hyperacute T MI - Bulky LAD occlusion Recip STD Subtle Lateral MI ECG FOAM Steve Smith Prehospital ECG looks very suspicious to the paramedic Dr Smith's ECG Blog

Prehospital

Anterior STE Normal Variant ST Elevation Recip STD ECG FOAM Steve Smith ST Elevation in I and aVL: do prehospital cath lab activation on these cases? Dr Smith's ECG Blog

Initial

Pericarditis -Recip STD Widespread STE ECG FOAM Steve Smith Diffuse ST Elevation. Diagnosis confirmed with Bedside Echo. Dr Smith's ECG Blog

Day 1, 10 days of symptoms

Pericarditis -Recip STD ECG FOAM Steve Smith Severe Atypical Chest Pain in a Young Woman: Series of Pericarditis ECGs Dr Smith's ECG Blog

30min later

-Pericarditis Recip STD Widespread STE Wraparound LAD MI ECG FOAM Steve Smith 24 yo woman with chest pain: Is this STEMI? Pericarditis? Beware a negative Bedside ultrasound. Dr Smith's ECG Blog

Arrival

Recip STD Widespread STE Wraparound LAD MI ECG FOAM Steve Smith 24 yo woman with chest pain: Is this STEMI? Pericarditis? Beware a negative Bedside ultrasound. Dr Smith's ECG Blog

Inf STE Myocarditis -Recip STD ECG FOAM Casey Parker, Steve Smith Chest pain and ST-segment Elevation Dr Smith's ECG Blog

AFlutter -High Lateral MI -Recip STD ECG FOAM Steve Smith What is the Diagnosis? Dr Smith's ECG Blog

Initial

HyperT MINOCA Normal Angio Recip STD ECG FOAM Steve Smith Inferior hyperacute T-waves and ST elevation. Angiogram is normal. What happened? Dr Smith's ECG Blog

Prehospital

Hyperacute T MI - Tall Recip STD Sinus Tach Wraparound LAD MI ECG FOAM Steve Smith Would you activate the cath lab prehospital? Dr Smith's ECG Blog

Arrival

LV Aneurysm Recip STD Subtle Anterior MI ECG FOAM Steve Smith Transient STEMI, serial ECGs prehospital to hospital, all troponins negative (less than 0.04 ng/ml) Dr Smith's ECG Blog

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