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3h later

Classic Inferoposterior MIRight LeadsRight Ventricular MI – V4R 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

Right Leads 16min later

Right LeadsSerial ECGSubtle Anterior MI ECG FOAM Steve Smith, Steven Souchtchenko The ECG must be recorded at the right time, or the Occlusion (OMI) will be missed. Dr Smith's ECG Blog
Classic Inferior MIRight LeadsRight Ventricular MI – V4R ECG FOAM Inf MI with RV MI and R sided ECG leads ECG Learning Center
Classic Inferior MIRight LeadsRight Ventricular MI – V4R ECG FOAM Acute Inferoposterior MI with Right Ventricular MI ECG Learning Center

Right leads 2010

Coronary DissectionRight Leads-ST Elevation in V4R12-lead ECG FOAM Pendell Meyers, Morgan Penzler Chest pain after motor vehicle collision with an abnormal ECG - blunt cardiac injury? OMI? normal variant? Dr Smith's ECG Blog

Right leads 30min later

DynamicRight LeadsSerial ECG-ST Elevation in V4R12-lead ECG FOAM Pendell Meyers, Steve Smith Interventionalist at the Receiving Hospital: "No STEMI, no cath. I do not accept the transfer." Dr Smith's ECG Blog

Right leads

Right Leads12-leadSubtle Inferoposterior MI ECG FOAM Pendell Meyers, Steve Smith, Daryl Williams What is a useful next step in the evaluation of this patient with Chest pain and this ECG? Dr Smith's ECG Blog

Prior to transfer

Classic Inferior MIRight Leads12-lead ECG FOAM Pendell Meyers, Steve Smith Serial ECGs highly suspicious for inferior OMI: Give thrombolytics prior to transfer for PCI? Dr Smith's ECG Blog

Right sided

Right LeadsRight Ventricular MI – V4R ECG FOAM Steve Smith Inferolateral STEMI: is there right ventricular MI also? Dr Smith's ECG Blog

Right leads

Classic Inferior MIRight Leads-ST Elevation in V4R ECG FOAM Steve Smith A 50-something woman with chest pain and 2 "normal" ECGs at triage Dr Smith's ECG Blog

Right sided ECG

InfPostLat MIRight LeadsRight Ventricular MI - V1 ECG FOAM Steve Smith Is there a Right Ventricular MI in addition to Infero-postero-lateral MI? Dr Smith's ECG Blog

Awaiting cath, right leads

HyperTRight LeadsRight Ventricular MI – V4RST Elevation in V4R ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith A female in her 60s who was lucky to get expert ECG interpretation Dr Smith's ECG Blog

Right sided

Right LeadsRight Ventricular MI – V4R ECG FOAM Steve Smith Where is the lesion in this STEMI? Dr Smith's ECG Blog

Right leads

Right LeadsRight Ventricular MI – V4R ECG FOAM Steve Smith Inferior STEMI with AV Block, Cardiogenic Shock and ST elevation in V1 Dr Smith's ECG Blog

Right sided

Right LeadsRight Ventricular MI – V4R ECG FOAM Steve Smith Acute chest pain, bradycardia, and hypotension Dr Smith's ECG Blog

Right sided

Right LeadsRight Ventricular MI – V4R ECG FOAM Robert Reardon, Steve Smith Ultrasound Before ECG for Chest pain? Whoever gets there first. Use of Speckle Tracking. Dr Smith's ECG Blog
Posterior LeadsRCA OcclusionRight LeadsRight Ventricular MI – V4R ECG FOAM Steve Smith, Elisha Targonsky What is the infarct artery? (Complex analysis, in this case) Dr Smith's ECG Blog

Right sided

Right Leads-ST Elevation in V4R ECG FOAM Steve Smith Sudden Cardiogenic Shock Dr Smith's ECG Blog

Pain resolved, right leads

ReperfusionRight Leads ECG FOAM Steve Smith A Non STEMI that needs the cath lab now. Dr Smith's ECG Blog

32min later, right leads

RCA OcclusionRight Leads-ST Elevation in V4R ECG FOAM Steve Smith A Male in his 60s with Chest pain. What is the ECG Diagnosis? Dr Smith's ECG Blog

Right sided

AFClassic Inferoposterior MIECG FOAMRight Leads-ST Elevation in V4R Dr Smith's ECG Blog

Right sided

RCA OcclusionRight LeadsRight Ventricular MI – V4R ECG FOAM Steve Smith Chest Pain in a 61 year old male. Inferior STEMI without inferior ST elevation. Dr Smith's ECG Blog

35min later

ArrestHyperK (8.4)Right LeadsShark Fin ECG FOAM Steve Smith A Tragic Case, related to the last post Dr Smith's ECG Blog

Right sided

Right LeadsST Elevation in V4RWidespread STE ECG FOAM Steve Smith 24 yo woman with chest pain: Is this STEMI? Pericarditis? Beware a negative Bedside ultrasound. Dr Smith's ECG Blog

22min later

Re-occlusionRight Leads ECG FOAM Steve Smith Prehospital Serial ECGs demonstrate repeated Reperfusion and Reocclusion Dr Smith's ECG Blog