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Initial

HypothermiaInf STE ECG FOAM Jesse McLaren, Steve Smith Unconscious + STEMI criteria: activate the cath lab? Dr Smith's ECG Blog

Initial

Diffuse Subendocardial IschaemiaST Elevation in aVRSTD Widespread 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

Day 5

Pseudo-Normal TRe-occlusionSTE 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

Day 4

Re-occlusionSTE 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

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

Day 2 0000

STE 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

After cath

Post-Intervention ECGSerial ECGResolved STE ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Dominic Nicacio, Steve Smith A man in his 30s with chest pain and a normal bedside echo, without wall motion abnormality Dr Smith's ECG Blog

Triage - 1.5h pain

Aortic StenosisChest PainCoronary EmbolismLVHLVH + LAD MINSRRecip STDSTE ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Dominic Nicacio, Steve Smith A man in his 30s with chest pain and a normal bedside echo, without wall motion abnormality Dr Smith's ECG Blog

Initial

Long QTSTDSTE~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
Up-Down T-LV Aneurysm-Old Anterior MIPathological Q WaveQ Wave LAD MISTE ECG FOAM Steve Smith Acute aphasia. What is the likely etiology? Dr Smith's ECG Blog

Initial

Benign TinvChest PainSTE ECG FOAM Pendell Meyers, Steve Smith Understanding this pathognomonic ECG would have greatly benefitted the patient. Dr Smith's ECG Blog

25min later

Coronary DissectionDynamic~High Lateral D1 MISTE ECG FOAM Brandon Fetterolf, Pendell Meyers, Steve Smith A woman in her 30s with sudden chest pain, nausea, and diaphoresis. Was her cardiology management appropriate? Dr Smith's ECG Blog

After angiogram

MINOCASerial ECGResolved STE ECG FOAM Steve Smith RBBB with STE in I and aVL. Will the angiogram tell you if this ECG represents Occlusion MI or not? Dr Smith's ECG Blog

Hours later

DynamicSerial ECGSTE ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

5h later

Baseline ArtefactRe-occlusionSerial ECGSTE ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

4h later

Resolved HyperTSerial ECGResolved STE ECG FOAM Pendell Meyers, Steve Smith A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis "NSTEMI". This happens far too often. Dr Smith's ECG Blog

Initial

-High Lateral MITinvSTE ECG FOAM Ken Grauer, Jesse McLaren, Pendell Meyers, Amandeep Singh, Steve Smith Quiz post - which of these, if any, are OMI? What is the South African Flag Sign? Will you activate the cath lab? Can you tell the difference on ECG? Dr Smith's ECG Blog
PericarditisSTE 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
Chest PainHyperTMyocarditisSTE ECG FOAM Steve Smith A 30-something with Chest pain, elevated troponin, with Subtle ST Elevation and hyperacute T-waves. Dr Smith's ECG Blog

On arrival

-Downsloping TP SegmentMIPIRP~PR depressSinus TachSTDSTEBaseline 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
HypothermiaOsborn Wave ECG FOAM Hypothermia: J-waves or Osborne Waves ECG Learning Center

Prehospital 3

DynamicSerial ECGSTDSTE ECG FOAM Pendell Meyers, Steve Smith Do these Serial Prehospital ECGs show OMI? Dr Smith's ECG Blog