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Electrodes replaced

Serial ECG ECG FOAM Tom Bouthillet, Steve Smith A 60 year old with chest pain Dr Smith's ECG Blog

21h later

Pathological Q WaveSerial ECG ECG FOAM Steve Smith What happens if you don't recognize Hyperacute T-waves? Dr Smith's ECG Blog

12h later

Pathological Q WaveSerial ECG ECG FOAM Steve Smith What happens if you don't recognize Hyperacute T-waves? Dr Smith's ECG Blog

3h later

Pathological Q WaveSerial ECG ECG FOAM Steve Smith What happens if you don't recognize Hyperacute T-waves? Dr Smith's ECG Blog

New electrodes

Serial ECG ECG FOAM Brooks Walsh, Jesse McLaren, et.al. Acute chest pain and a bizarre ECG Dr Smith's ECG Blog

Yesterday

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

4h later

Hyperacute T MI - TallSerial ECG ECG FOAM Steve Smith 30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion. Dr Smith's ECG Blog

60min later

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

5min later

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

Postop

Serial ECG ECG FOAM Jesse McLaren, Steve Smith, et.al. 90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab? Dr Smith's ECG Blog

5min later

Serial ECG ECG FOAM Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting." Dr Smith's ECG Blog

Electrodes repositioned

Resolved Arterial pulse tapping artefactSerial ECG ECG FOAM Are these Hyperacute T-waves? Dr Smith's ECG Blog

2h later

Serial ECG ECG FOAM 65 year old with syncope and a 'normal' ECG: discharge home? 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

DynamicSerial ECG ECG FOAM Steve Smith 45 year old with chest pain Dr Smith's ECG Blog

Serial

-DynamicSerial ECG ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith Watch what happens when "pericarditis" and morphine cloud your judgment Dr Smith's ECG Blog

Day 2 0921

Serial ECGSTE 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

Serial 18:25

Serial ECGSTE 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

Serial 17:50

Serial ECGSTE 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

Serial 17:00

DynamicHyperTSerial ECGSTEWraparound LAD MI 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
DynamicLVH + LAD MISerial ECG ECG FOAM Jesse McLaren, Steve Smith Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion Dr Smith's ECG Blog
HyperTLVH + LAD MISerial ECGSTD ECG FOAM Jesse McLaren, Steve Smith Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion Dr Smith's ECG Blog
Post-Intervention ECGReperfusion T WaveSerial ECG ECG FOAM Pendell Meyers, Steve Smith, Marie Wofford Chest pain with ventricular paced rhythm - will you be able to rise above the STEMI paradigm and figure out what to do? Dr Smith's ECG Blog

Arrival

Hyperacute T MI - TallSerial ECG ECG FOAM Pendell Meyers, Steve Smith De Winter's T-waves are Not a Stable ECG condition. Upright T-waves in Posterior OMI are Distinct from de Winter's waves. Dr Smith's ECG Blog

After dialysis during previous visit

Resolved LAFB + RBBBResolved Peaked TSerial ECG ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith A 50s year old man with lightheadedness and bradycardia Dr Smith's ECG Blog