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Subtle High Lateral MI
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Initial
Chest Pain
Subtle High Lateral MI
ECG FOAM
Jesse McLaren, Pendell Meyers
Two 70 year olds with chest pain, and 3 pitfalls of the STEMI paradigm
Dr Smith's ECG Blog
Post PCI
Reperfusion T Wave
Subtle High Lateral MI
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
Biphasic Down-Up T wave
Subtle High Lateral MI
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
Chest Pain
Subtle High Lateral MI
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
Next day post PCI
Post-Intervention ECG
Subtle High Lateral MI
ECG FOAM
Ken Grauer, Salim Rezaie, Steve Smith
Why do we NOT name Occlusion MI (OMI) after an EKG finding? (In contrast to STEMI, which is named after ST Elevation)
Dr Smith's ECG Blog
Subtle High Lateral MI
ECG FOAM
High Lateral Wall MI (seen in aVL)-KH
ECG Learning Center
45 min later
Serial ECG
STE
Subtle High Lateral MI
ECG FOAM
Alex Bracey, Pendell Meyers, Steve Smith
Getting It Right Despite the Wrong Paradigm
Dr Smith's ECG Blog
Pain improved
Dynamic
Reperfusion
Serial ECG
12-lead
Subtle High Lateral MI
ECG FOAM
Steve Smith
The cardiologist disagreed with cath lab activation. What do you think?
Dr Smith's ECG Blog
Initial
STD
STE
12-lead
Subtle High Lateral MI
ECG FOAM
Steve Smith
The cardiologist disagreed with cath lab activation. What do you think?
Dr Smith's ECG Blog
100min later
Subtle High Lateral MI
ECG FOAM
Pendell Meyers, Steve Smith
A Text Message in the Middle of the night. Do you give thrombolytics?
Dr Smith's ECG Blog
Next day
Post-Intervention ECG
Subtle High Lateral MI
ECG FOAM
Ken Grauer, Steve Smith
Epigastric pain radiating to the chest for 18 hours. ECG makes the Dx. Troponin makes the Dx. CT makes the Dx!
Dr Smith's ECG Blog
Serial
Subtle High Lateral MI
ECG FOAM
Ken Grauer, Steve Smith
Epigastric pain radiating to the chest for 18 hours. ECG makes the Dx. Troponin makes the Dx. CT makes the Dx!
Dr Smith's ECG Blog
Initial
Subtle High Lateral MI
ECG FOAM
Ken Grauer, Steve Smith
Epigastric pain radiating to the chest for 18 hours. ECG makes the Dx. Troponin makes the Dx. CT makes the Dx!
Dr Smith's ECG Blog
Initial
Subtle High Lateral MI
ECG FOAM
Steve Smith
Should Troponin be a Vital Sign? Perhaps, but only if Interpreted Using Pre-test Probability.
Dr Smith's ECG Blog
Previous ECG 1
Subtle High Lateral MI
ECG FOAM
Pendell Meyers, Steve Smith
Was the intern correct?
Dr Smith's ECG Blog
17min
Subtle High Lateral MI
ECG FOAM
Steve Smith
Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression?
Dr Smith's ECG Blog
5min
Serial ECG
Subtle High Lateral MI
ECG FOAM
Steve Smith
Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression?
Dr Smith's ECG Blog
3min
Subtle High Lateral MI
ECG FOAM
Steve Smith
Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression?
Dr Smith's ECG Blog
1min
Serial ECG
Subtle High Lateral MI
ECG FOAM
Steve Smith
Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression?
Dr Smith's ECG Blog
Initial
Subtle High Lateral MI
ECG FOAM
Steve Smith
Thrombus propagation on 10 serial Prehospital ECGs: Can you explain the progression?
Dr Smith's ECG Blog
Prehospital
Reperfusion T Wave
Subtle High Lateral MI
ECG FOAM
Steve Smith
Chest pressure during exertion, evolution of inverted T-waves and Troponins. Surprise Angiogram.
Dr Smith's ECG Blog
Initial
MINOCA
Subtle High Lateral MI
ECG FOAM
Steve Smith
Chest pressure during exertion, evolution of inverted T-waves and Troponins. Surprise Angiogram.
Dr Smith's ECG Blog
Initial
Inf STD
Subtle High Lateral MI
ECG FOAM
Steve Smith, Brandon Stein
Is this acute coronary occlusion? Simple ACS? Where is the culprit lesion?
Dr Smith's ECG Blog
Initial
Subtle High Lateral MI
ECG FOAM
Steve Smith
True Positive ST elevation in aVL vs. False Positive ST elevation in aVL
Dr Smith's ECG Blog
Pain returns
Re-occlusion
Subtle High Lateral MI
ECG FOAM
Steve Smith
Wait until after the ECG to give Nitroglycerine
Dr Smith's ECG Blog
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