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Library > Shark Fin ST Elevation
Prox LAD MI - BifascShark FinSinus Tach-VT ECG FOAM Pendell Meyers, Steve Smith An elderly woman with acute vomiting, presyncope, and hypotension, and a wide QRS complex Dr Smith's ECG Blog

20min post ROSC

Shark Fin ECG FOAM Pendell Meyers, Rachel Plate, et.al. A man in his 70s with chest pain Dr Smith's ECG Blog

10min Post ROSC

ArrestShark Fin ECG FOAM Pendell Meyers, Rachel Plate, et.al. A man in his 70s with chest pain Dr Smith's ECG Blog

Post resuscitation

Post-Intervention ECGResolved Shark Fin ECG FOAM Steve Smith Does this single lead show a wide complex tachycardia? Dr Smith's ECG Blog
Resolved ArrestShark Fin-VT ECG FOAM Steve Smith Does this single lead show a wide complex tachycardia? Dr Smith's ECG Blog
Δ RhythmCoronary Artery SpasmPMVTRhythm Strip OnlyShark Fin ECG FOAM Pendell Meyers, Magnus Nossen, Steve Smith Fascinating case of dynamic shark fin morphology - what is going on? Dr Smith's ECG Blog
Δ RhythmCoronary Artery SpasmDynamicHyperTRhythm Strip OnlyShark Fin ECG FOAM Pendell Meyers, Magnus Nossen, Steve Smith Fascinating case of dynamic shark fin morphology - what is going on? Dr Smith's ECG Blog
Coronary Artery SpasmDouble SpeedShark Fin ECG FOAM Pendell Meyers, Magnus Nossen, Steve Smith Fascinating case of dynamic shark fin morphology - what is going on? Dr Smith's ECG Blog
Coronary Artery SpasmDouble SpeedPVCShark FinTransient MI ECG FOAM Pendell Meyers, Magnus Nossen, Steve Smith Fascinating case of dynamic shark fin morphology - what is going on? Dr Smith's ECG Blog
Coronary Artery SpasmDouble SpeedShark FinTransient MI ECG FOAM Pendell Meyers, Magnus Nossen, Steve Smith Fascinating case of dynamic shark fin morphology - what is going on? Dr Smith's ECG Blog

Initial

ArrestShark Fin12-leadType II MIResolved VF ECG FOAM Pendell Meyers, Steve Smith 1 hour of CPR, then ECMO circulation, then successful defibrillation.... Dr Smith's ECG Blog
Coved ST ElevationHyperK (8.4)Shark Fin ECG FOAM Pendell Meyers, Steve Smith Another Shark Fin. With a twist. Dr Smith's ECG Blog
MyocarditisShark Fin12-lead ECG FOAM Steve Smith A 53 yo woman with cardiogenic shock. Believe me, this is not what you think. Dr Smith's ECG Blog
Resolved ArrestProx LAD MI - BifascShark Fin ECG FOAM Pendell Meyers, Steve Smith Ventricular Fibrillation, ROSC after perfusion restored by ECMO, then ECG. Protocols can be overridden by Physician Judgment. Dr Smith's ECG Blog

Initial

Baseline ArtefactArrestAnterior MIShark Fin ECG FOAM Pendell Meyers, Steve Smith Persistent Ventricular Fibrillation, ED ECMO, ED TEE, ROSC, Shark Fin ECG (also called "Giant R-wave"), Postinfarction Regional Pericarditis. What a Case! Dr Smith's ECG Blog

30min later

Prox LAD MI - BifascShark Fin ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith Shark Fin morphology recognized only by EM physician Dr Smith's ECG Blog

Serial 2, 20min post ROSC

Prox LAD MI - BifascShark Fin ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith Shark Fin morphology recognized only by EM physician Dr Smith's ECG Blog

Serial 1

Prox LAD MI - BifascShark Fin ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith Shark Fin morphology recognized only by EM physician Dr Smith's ECG Blog

Initial

Prox LAD MI - BifascShark FinWide QRS ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith Shark Fin morphology recognized only by EM physician Dr Smith's ECG Blog

Prior ECG after defibrillation years ago

Shark Fin ECG FOAM Steve Smith Is this new LAD occlusion with ST Elevation superimposed on old QS-wave MI? Dr Smith's ECG Blog

1min later

Shark FinSinus Brady ECG FOAM Pendell Meyers Total eclipse of the heart Dr Smith's ECG Blog

40min later, with sudden crushing chest pain

Shark FinSinus Brady ECG FOAM Pendell Meyers Total eclipse of the heart Dr Smith's ECG Blog
Resolved ArrestClassic Inferoposterior MIShark Fin ECG FOAM Sam Ghali, Steve Smith "Shark Fin": A Deadly ECG Sign that you Must Know! Dr Smith's ECG Blog

10min post ROSC

Arrest-LBBBShark FinSubtle Lateral MI ECG FOAM Pendell Meyers, Steve Smith Another Cardiac Arrest - Is it OMI this time? Use your skills from the previous post! Dr Smith's ECG Blog

Initial

ISCANArrestShark FinType II MI ECG FOAM Steve Smith Cardiac Arrest -- Is it STEMI? Dr Smith's ECG Blog