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Sinus Bradycardia
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Normal Variant ST Elevation
Sinus Brady
ECG FOAM
Magnus Nossen, Pendell Meyers, et.al.
A man in his 40s with epigastric pain and ST Elevation
Dr Smith's ECG Blog
Several hours earlier
Chest Pain
Sinus Brady
Subtle Inferoposterior MI
ECG FOAM
Pendell Meyers, Steve Smith
A Middle Aged Male diagnosed with Gastroesophageal Reflux
Dr Smith's ECG Blog
Triage
Up-Down T
Chest Pain
Sinus Brady
Subtle Inferoposterior MI
ECG FOAM
Pendell Meyers, Steve Smith
A Middle Aged Male diagnosed with Gastroesophageal Reflux
Dr Smith's ECG Blog
Initial
Up-Down T
Chest Pain
Inferior Wellens A MI
Posterior Wellens MI
Reperfusion
Sinus Brady
Tall 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
Chest Pain
Classic Inferior MI
Sinus Brady
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Inferior ST elevation with reciprocal change: which of these 4 patients has Occlusion MI?
Dr Smith's ECG Blog
RBBB
Sinus Brady
ECG FOAM
Sinus bradycardia with RBBB (HR 38 bpm)
ECG Learning Center
Day 2
Reperfusion T Wave
Sinus Brady
ECG FOAM
Alex Bracey, Lucas Goss, Pendell Meyers, Salim Rezaie, Steve Smith
A 76 Year Old Female With Recurrent Syncope, Lightheadedness, Palpitations and Negative Stress Test
Dr Smith's ECG Blog
Initial
Chest Pain
Early Transition
Sinus Brady
STD
STE
Subtle Lateral MI
ECG FOAM
Alex Bracey, Kaley El-Arab, Pendell Meyers, Steve Smith
A 64 year old man with chest tightness
Dr Smith's ECG Blog
1°AVB
HyperK (9.4)
Peaked T
R in aVR
R in V1
RBBB
Sinus Brady
ECG FOAM
Alex Bracey, Spencer Lord, Pendell Meyers, Steve Smith
This ECG Pattern Told the Story When the Patient Could Not
Dr Smith's ECG Blog
Post transfer
PVC
Sinus Brady
STD
STE
ECG FOAM
Alex Bracey, Pendell Meyers, Steve Smith
Getting It Right Despite the Wrong Paradigm
Dr Smith's ECG Blog
Initial
Hyperacute T MI - Tall
Late Transition
Sinus Brady
12-lead
ECG FOAM
Alex Bracey, Pendell Meyers, Steve Smith
Getting It Right Despite the Wrong Paradigm
Dr Smith's ECG Blog
AV Dissociation
Sinus Brady
12-lead
Ventricular Escape
ECG FOAM
Ken Grauer, Steve Smith
What are these wide complexes? If unclear by explanation, the laddergram helps to understand.
Dr Smith's ECG Blog
Triage
1°AVB
HyperK (7.8)
Peaked T
Sinus Brady
Wide QRS
ECG FOAM
Pendell Meyers, Steve Smith
A woman in her 50s with dyspnea and bradycardia
Dr Smith's ECG Blog
Hypothermia (24.3)
Osborn Wave
Sinus Brady
ECG FOAM
Steve Smith
How would you manage this patient?
Dr Smith's ECG Blog
Peaked T
Short QT
Sinus Brady
ECG FOAM
Pendell Meyers
What is the differential of this very unusual ECG?
Dr Smith's ECG Blog
Classic Inferior MI
Concave ST Elevation
1°AVB
Sinus Brady
ECG FOAM
Pendell Meyers, Steve Smith
ST segment concavity is just one small piece of the puzzle that is pattern recognition
Dr Smith's ECG Blog
AV Dissociation
Junctional Escape
Sinus Brady
ECG FOAM
Steve Smith
What is the Rhythm?
Dr Smith's ECG Blog
1min later
Shark Fin
Sinus Brady
ECG FOAM
Pendell Meyers
Total eclipse of the heart
Dr Smith's ECG Blog
40min later, with sudden crushing chest pain
Shark Fin
Sinus Brady
ECG FOAM
Pendell Meyers
Total eclipse of the heart
Dr Smith's ECG Blog
Initial
BRASH
HyperK
RBBB
Sinus Brady
ECG FOAM
Alex Bracey, Pendell Meyers, Steve Smith
An elderly woman found down with bradycardia and hypotension
Dr Smith's ECG Blog
Post resuscitation
Resolved Arrest
Junctional Escape
RBBB
Sinus Brady
STD
ECG FOAM
Steve Smith
Right Bundle Branch Block and ST Depression in V1-V3. Is that normal? And a complication.
Dr Smith's ECG Blog
14min later
Sinus Brady
Wraparound LAD MI
ECG FOAM
Steve Smith
Patient presentation is important, and so is R-wave amplitude
Dr Smith's ECG Blog
Initial
Anterior STE
Inf STE
Sinus Brady
Wraparound LAD MI
ECG FOAM
Steve Smith
Patient presentation is important, and so is R-wave amplitude
Dr Smith's ECG Blog
22min later
Junctional Escape
Sinus Brady
Trifascicular Block
ECG FOAM
Steve Smith
Symptomatic Bradycardia. So-called Trifascicular Block. Occum's Razor and Hickum's dictum.
Dr Smith's ECG Blog
Initial
JEB
Sinus Brady
Trifascicular Block
ECG FOAM
Steve Smith
Symptomatic Bradycardia. So-called Trifascicular Block. Occum's Razor and Hickum's dictum.
Dr Smith's ECG Blog
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