ST Depression - MedEd Library

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Initial

Multi-Vessel Disease Reperfusion T Wave STD ECG FOAM Steve Smith Two cases of ST depression Dr Smith's ECG Blog

Arrival 05:30

SOB STD 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

HyperT LVH + LAD MI Serial ECG STD 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

36h later

Posterior + RBBB MI Reperfusion T Wave Serial ECG Resolved STD ECG FOAM Ken Grauer, Steve Smith RBBB and LAFB: Is there a "concordance" of the ST segment in inferior leads? Is the ST depression in V3 due to RBBB only? Dr Smith's ECG Blog

Initial

Abdo Pain SOB -Inf STD Tinv LAFB + RBBB Posterior + RBBB MI STD Vomit ECG FOAM Ken Grauer, Steve Smith RBBB and LAFB: Is there a "concordance" of the ST segment in inferior leads? Is the ST depression in V3 due to RBBB only? Dr Smith's ECG Blog

Recurrent pain 1h later

Chest Pain Dynamic Serial ECG Resolved STD ECG FOAM Steve Smith All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing. Dr Smith's ECG Blog

Pain Free

Abdo Pain Baseline Artefact Resolved Chest Pain HTN Normal Angio STD ECG FOAM Steve Smith All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing. Dr Smith's ECG Blog

1 hour later

Long QT Serial ECG STD ECG FOAM Oriane Longerstaey, Jesse McLaren, Pendell Meyers, Steve Smith A woman in her 40s with intractable nausea and vomiting, dyspnea, and lightheadedness Dr Smith's ECG Blog

Initial

Long QT STD STE ~Takotsubo ECG FOAM Oriane Longerstaey, Jesse McLaren, Pendell Meyers, Steve Smith A woman in her 40s with intractable nausea and vomiting, dyspnea, and lightheadedness Dr Smith's ECG Blog

On arrival

-Downsloping TP Segment MI PIRP ~PR depress Sinus Tach STD STE Baseline wander ECG FOAM Pendell Meyers, Steve Smith Is this Myo-pericarditis? Or OMI with subsequent pericarditis? Does the angiogram always explain the ECG findings? Dr Smith's ECG Blog

Prehospital 3

Dynamic Serial ECG STD STE ECG FOAM Pendell Meyers, Steve Smith Do these Serial Prehospital ECGs show OMI? Dr Smith's ECG Blog

Prehospital 2

Chest Pain Serial ECG STD ECG FOAM Pendell Meyers, Steve Smith Do these Serial Prehospital ECGs show OMI? Dr Smith's ECG Blog

Prehospital 1

Chest Pain STD ECG FOAM Pendell Meyers, Steve Smith Do these Serial Prehospital ECGs show OMI? Dr Smith's ECG Blog

Post PCI

Post-Intervention ECG Resolved STD ECG FOAM Steve Smith Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping Dr Smith's ECG Blog

Post intubation

Sinus Tach STD SAH Takotsubo ECG FOAM Ken Grauer, Steve Smith Agitation, Confusion, and Unusual Wide Complex Tachycardia. What is it, why did it occur, and how to treat? Dr Smith's ECG Blog

Initial

1:1 P:QRS AFlutter Narrow QRS STD SVT ECG FOAM Steve Smith Narrow Complex Tachycardia at a Rate of 220 Dr Smith's ECG Blog

Triage

Arrest Chest Pain Diffuse Subendocardial Ischaemia ~LVH STD STE ECG FOAM Pendell Meyers, Steve Smith A man in his late 40s with chest pain Dr Smith's ECG Blog

Digoxin Effect STD Weak ECG FOAM Steve Smith ST Depression Seen While scrolling through ECGs -- What is it? Dr Smith's ECG Blog

High V1/V2 STD Subtle Lateral MI ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith How much ST depression in V2 and V3 is acceptable before you suspect ischemia? Dr Smith's ECG Blog

7h later

Dynamic Serial ECG 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

6h later

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

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

6 after onset

Reperfusion T Wave Serial ECG Resolved STD ECG FOAM Pendell Meyers, Steve Smith Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia) Dr Smith's ECG Blog

Post cardioversion

12-lead AF ECG FOAM Rate-related STD Resolved STD Dr Smith's ECG Blog

Prehospital 2 - pain resolved

Resolved Chest Pain Serial ECG Resolved STD 12-lead ECG FOAM Pendell Meyers, Steve Smith This is really good Prehospital, ED, and Cardiology care. Inferior de Winter's T-waves. Dr Smith's ECG Blog

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