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Subtle Inferoposterior MI
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Subtle Inferoposterior MI
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5h later
Subtle Inferoposterior MI
ECG FOAM
Jesse McLaren, Steve Smith
Dueling OMI: does this 30 year old with chest pain have any signs of occlusion or reperfusion?
Dr Smith's ECG Blog
After first troponin
Subtle Inferoposterior MI
ECG FOAM
Jesse McLaren, Steve Smith
Dueling OMI: does this 30 year old with chest pain have any signs of occlusion or reperfusion?
Dr Smith's ECG Blog
Triage
Subtle Inferoposterior MI
ECG FOAM
Jesse McLaren, Steve Smith
Dueling OMI: does this 30 year old with chest pain have any signs of occlusion or reperfusion?
Dr Smith's ECG Blog
2045
Chest Pain
Subtle Inferoposterior MI
ECG FOAM
Jesse McLaren, Pendell Meyers, et.al.
A man in his 60s with acute chest pain
Dr Smith's ECG Blog
100min later
Subtle Inferoposterior MI
ECG FOAM
OMI can be very subtle and easy to miss, but be a very large infarction.
Dr Smith's ECG Blog
Initial
Subtle Inferoposterior MI
ECG FOAM
OMI can be very subtle and easy to miss, but be a very large infarction.
Dr Smith's ECG Blog
Ongoing chest pain
Subtle Inferoposterior MI
ECG FOAM
Alex Bracey, Pendell Meyers, et.al.
Chest pain, and Cardiology didn't take the hint from the ICD
Dr Smith's ECG Blog
Triage
Subtle Inferoposterior MI
ECG FOAM
Alex Bracey, Pendell Meyers, et.al.
Chest pain, and Cardiology didn't take the hint from the ICD
Dr Smith's ECG Blog
Subtle Inferoposterior MI
ECG FOAM
Jesse McLaren, Pendell Meyers, et.al.
Two patients with chest pain. Do either of them need emergent reperfusion? Both? Neither?
Dr Smith's ECG Blog
Prior to cath, posterior
Posterior Leads
Subtle Inferoposterior MI
ECG FOAM
Alex Bracey, Pendell Meyers, et.al.
Posterior leads can give false reassurance
Dr Smith's ECG Blog
Subtle Inferoposterior MI
ECG FOAM
Alex Bracey, Pendell Meyers, et.al.
Posterior leads can give false reassurance
Dr Smith's ECG Blog
1.5h later
Subtle Inferoposterior MI
ECG FOAM
Jesse McLaren, Pendell Meyers, et.al.
Chest pain and anterior ST depression. What’s the cause(s)?
Dr Smith's ECG Blog
1h later
Subtle Inferoposterior MI
Resolved WPW
ECG FOAM
Jesse McLaren, Pendell Meyers, et.al.
Chest pain and anterior ST depression. What’s the cause(s)?
Dr Smith's ECG Blog
Triage
Subtle Inferoposterior MI
ECG FOAM
Pendell Meyers, Rachel Plate, et.al.
A man in his 70s with chest pain
Dr Smith's ECG Blog
Worsening pain 9/10
Chest Pain
Pseudo-Normal T
Re-occlusion
Serial ECG
Subtle Inferoposterior MI
ECG FOAM
Pendell Meyers, Steve Smith
A Middle Aged Male diagnosed with Gastroesophageal Reflux
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
110min later
Posterior Leads
Subtle Inferoposterior MI
ECG FOAM
Alex Bracey, Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Why is there inferior ST elevation, and would you get posterior leads?
Dr Smith's ECG Blog
50min later
Serial ECG
Subtle Inferoposterior MI
ECG FOAM
Alex Bracey, Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Why is there inferior ST elevation, and would you get posterior leads?
Dr Smith's ECG Blog
20min later
Dynamic
Posterior Leads
Serial ECG
Subtle Inferoposterior MI
ECG FOAM
Alex Bracey, Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Why is there inferior ST elevation, and would you get posterior leads?
Dr Smith's ECG Blog
Initial
Abdo Pain
Atrial Escape
HyperT
Subtle Inferoposterior MI
Vomit
ECG FOAM
Alex Bracey, Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Why is there inferior ST elevation, and would you get posterior leads?
Dr Smith's ECG Blog
Initial
Inf STE
Subtle Inferoposterior MI
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
Subtle Inferoposterior MI
ECG FOAM
Inferior MI and RBBB-KH
ECG Learning Center
RBBB
Subtle Inferoposterior MI
ECG FOAM
Infero-posterior MI & RBBB-KH
ECG Learning Center
Arrival
Dynamic
Serial ECG
Subtle Inferoposterior MI
ECG FOAM
Pendell Meyers, Steve Smith
Do these Serial Prehospital ECGs show OMI?
Dr Smith's ECG Blog
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