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24h post cath

Reperfusion ECG FOAM Alex Bracey, Pendell Meyers, et.al. Chest pain, and Cardiology didn't take the hint from the ICD Dr Smith's ECG Blog

1809

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

Discharge

Post-Intervention ECGRCA OcclusionReperfusion ECG FOAM Jesse McLaren, Pendell Meyers, et.al. Chest pain and anterior ST depression. What’s the cause(s)? Dr Smith's ECG Blog

2h later

ReperfusionWPW ECG FOAM Jesse McLaren, Pendell Meyers, et.al. Chest pain and anterior ST depression. What’s the cause(s)? Dr Smith's ECG Blog

120min later

Reperfusion ECG FOAM Pendell Meyers, Steve Smith Opiate overdose, without chest pain or shortness of breath. Cognitive dissonance. Dr Smith's ECG Blog

25min later

Reperfusion ECG FOAM Pendell Meyers, Steve Smith Opiate overdose, without chest pain or shortness of breath. Cognitive dissonance. Dr Smith's ECG Blog

Time zero

ReperfusionSerial ECG ECG FOAM On its way from occlusion to reperfusion (or vice versa), the ECG can be normal or near normal Dr Smith's ECG Blog

Serial

Reperfusion ECG FOAM Steve Smith Unstable Angina: Again, it still exists...... Dr Smith's ECG Blog

15:45

Resolved HyperTReperfusion ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith Back to the basics. An elderly man with chest pain, no STEMI criteria, and troponin within normal limits. What does his ECG mean? Dr Smith's ECG Blog

Next morning

Up-Down TReperfusionSerial ECG 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

Post cath

Up-Down TPost-Intervention ECGReperfusion 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

7h later

ReperfusionSerial ECG 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

1 month later, post angiogram

Post-Intervention ECGReperfusionReperfusion T WaveTall T ECG FOAM Alex Bracey, Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here. Dr Smith's ECG Blog

Initial

Up-Down TChest PainInferior Wellens A MIPosterior Wellens MIReperfusionSinus BradyTall T ECG FOAM Alex Bracey, Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith Chest pain, a ‘normal’ ECG, a 'normal trop', and low HEART and EDACS scores: Discharge home? Stress test? Many errors here. Dr Smith's ECG Blog

20:00

ReperfusionReperfusion T WaveSerial ECG ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith Back to the basics. An elderly man with chest pain, no STEMI criteria, and troponin within normal limits. What does his ECG mean? Dr Smith's ECG Blog

3 days later

MINOCAReperfusionReperfusion T Wave 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

Next day

ReperfusionReperfusion T Wave 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

After angiogram

ReperfusionReperfusion T Wave ECG FOAM Pendell Meyers, Steve Smith Is this Myo-pericarditis? Or OMI with subsequent pericarditis? Does the angiogram always explain the ECG findings? Dr Smith's ECG Blog

Seial 19:11

Resolved HyperTReperfusion ECG FOAM Pendell Meyers, Steve Smith A 52 year old female with chest pain Dr Smith's ECG Blog

8h later

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

Day 3 at 1300

Reperfusion12-lead ECG FOAM Pendell Meyers, Steve Smith A man in his 50s with schizophrenia, hypoglycemia, and vague chest pain and shortness of breath for a few days Dr Smith's ECG Blog

19 min later, pain free

Wellens B MIReperfusion12-lead ECG FOAM Steve Smith See this: Occlusion/Reperfusion/Re-occlusion/Reperfusion/Re-occlusion/Reperfusion Dr Smith's ECG Blog

Prior to cath lab

DynamicReperfusionSerial ECG12-lead ECG FOAM Shakita Crichlow, Pendell Meyers, Steve Smith This patient with "NSTEMI" was not allowed to go to the cath lab. Then the ED provider obtained an emergent coronary CT angio. What do you think it showed? Dr Smith's ECG Blog

Next day

Post-Intervention ECGReperfusionReperfusion T Wave12-lead 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

Serial 1841

Reperfusion12-lead 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