Secondary Repolarisation Changes - MedEd Library

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> Secondary Repolarisation Changes

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Atrial Escape 2° Repol Δ Widespread STE ECG FOAM Magnus Nossen, Pendell Meyers, et.al. A man in his 40s with epigastric pain and ST Elevation Dr Smith's ECG Blog

1h later

AF + RVR 2° Repol Δ ECG FOAM Steve Smith Does this ST Depression Maximal in V3 Represent Posterior OMI? Dr Smith's ECG Blog

Initial

AF + RVR LA/RA 2° Repol Δ ECG FOAM Steve Smith Does this ST Depression Maximal in V3 Represent Posterior OMI? Dr Smith's ECG Blog

Visit 3 - discharge

LVH 2° Repol Δ Serial ECG ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab? Dr Smith's ECG Blog

Visit 3 - first ECG

Chest Pain LVH 2° Repol Δ ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab? Dr Smith's ECG Blog

Visit 2 - post cath

LVH Post-Intervention ECG 2° Repol Δ ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab? Dr Smith's ECG Blog

Visit 1 - last ECG

LVH 2° Repol Δ Serial ECG ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab? Dr Smith's ECG Blog

Visit 1 - first ECG

Chest Pain LVH 2° Repol Δ ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab? Dr Smith's ECG Blog

Visit 2 - first ECG

Chest Pain LVH 2° Repol Δ ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab? Dr Smith's ECG Blog

Next day

Chest Pain Tinv LVH 2° Repol Δ ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith Acute chest pain and a difficult ECG Dr Smith's ECG Blog

Later that day

LVH 2° Repol Δ Serial ECG ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith Acute chest pain and a difficult ECG Dr Smith's ECG Blog

Triage

LVH 2° Repol Δ Serial ECG ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith Acute chest pain and a difficult ECG Dr Smith's ECG Blog

RBBB -2° Repol Δ ECG FOAM RBBB With Primary ST-T Wave Abnormalities-KH ECG Learning Center

Post cardioversion

NSR Resolved 2° Repol Δ ECG FOAM Steve Smith Is this ST depression due to OMI or due to subendocardial ischemia? This is critical to distinguish, and this is a trick case! Dr Smith's ECG Blog

Initial

AF + RVR 2° Repol Δ ECG FOAM Steve Smith Is this ST depression due to OMI or due to subendocardial ischemia? This is critical to distinguish, and this is a trick case! Dr Smith's ECG Blog

Delta Wave 2° Repol Δ WPW ECG FOAM Pendell Meyers, Steve Smith I thought the ECG diagnosis was obvious. But many missed it. So I'm showing it. Dr Smith's ECG Blog

Initial

AF + RVR Normal QT 2° Repol Δ 12-lead ECG FOAM Steve Smith What to do when Atrial Fib with RVR will not Electrically Cardiovert. And how do you measure the QT in Atrial Fib? Dr Smith's ECG Blog

2° Repol Δ ECG FOAM Steve Smith Does ST Elevation in lead aVR indicate acute coronary occlusion? Dr Smith's ECG Blog

2° Repol Δ 12-lead SVT ECG FOAM Steve Smith Does ST Elevation in lead aVR indicate acute coronary occlusion? Dr Smith's ECG Blog

Initial

Tinv R in V1 Right Axis RVH 2° Repol Δ STD ECG FOAM Ken Grauer, Steve Smith ST Depression and T-wave Inversions after ROSC from Resp and Cardiac Arrest after Head Trauma Dr Smith's ECG Blog

On arrival

LVH 2° Repol Δ Syncope ECG FOAM Steve Smith Syncope, History of Coronary Disease, and ST Elevation: Should Medics Activate the Cath Lab? Dr Smith's ECG Blog

Chest leads

Chest Leads LVH 2° Repol Δ Syncope ECG FOAM Steve Smith Syncope, History of Coronary Disease, and ST Elevation: Should Medics Activate the Cath Lab? Dr Smith's ECG Blog

Limb leads

LVH Limb Leads 2° Repol Δ Syncope ECG FOAM Steve Smith Syncope, History of Coronary Disease, and ST Elevation: Should Medics Activate the Cath Lab? Dr Smith's ECG Blog

On arrival

Anterior STE LVH 2° Repol Δ 12-lead ECG FOAM Steve Smith Chest Pain and ST Elevation on the Monitor Dr Smith's ECG Blog

Prehospital

LVH 2° Repol Δ ECG FOAM Steve Smith Chest Pain and ST Elevation on the Monitor Dr Smith's ECG Blog

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