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Tachycardia
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Tachycardia
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30min later
High Lateral MI
Swirl
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
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
Anterior STE
Chest Pain
HyperCa
Short QT
ECG FOAM
Jesse McLaren, Steve Smith
Chest pain, among other symptoms. What do you see?
Dr Smith's ECG Blog
Atrial Escape
2° Repol Δ
Widespread STE
ECG FOAM
Magnus Nossen, Pendell Meyers, et.al.
A man in his 40s with epigastric pain and ST Elevation
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
Atrial Paced
Rhythm Strip Only
VF
ECG FOAM
Steve Smith, Ken Grauer
Emergency (ED placement) Transvenous Pacer appears to be working perfectly. What might go wrong?
Dr Smith's ECG Blog
-Vent Bigeminy
WPW
ECG FOAM
Bobby Nicholson, Pendell Meyers
What do you think of this "Ventricular Bigeminy"?
Dr Smith's ECG Blog
After first troponin
Dynamic
Baseline wander
ECG FOAM
65 year old with syncope and a 'normal' ECG: discharge home?
Dr Smith's ECG Blog
Initial
Multi-Vessel Disease
Reperfusion T Wave
STD
ECG FOAM
Steve Smith
Two cases of ST depression
Dr Smith's ECG Blog
Initial
LAFB + RBBB
Prox LAD MI - Bifasc
ECG FOAM
Steve Smith
Progression of Anterior STEMI with RBBB and cardiogenic shock
Dr Smith's ECG Blog
Representation 13 days later
Multi-Vessel Disease
Reperfusion T Wave
ECG FOAM
Steve Smith
45 year old with chest pain
Dr Smith's ECG Blog
Initial
Pericarditis
PR depress
Sinus Tach
Widespread STE
ECG FOAM
Steve Smith
ST Elevation after Stab Wound to the Heart
Dr Smith's ECG Blog
Chest Pain
LVH
-LVH + LAD MI
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
Prehospital
Chest Pain
Anterior MI
ECG FOAM
Pendell Meyers, Steve Smith
De Winter's T-waves are Not a Stable ECG condition. Upright T-waves in Posterior OMI are Distinct from de Winter's waves.
Dr Smith's ECG Blog
After dialysis during previous visit
Resolved LAFB + RBBB
Resolved Peaked T
Serial ECG
ECG FOAM
Ken Grauer, Pendell Meyers, Steve Smith
A 50s year old man with lightheadedness and bradycardia
Dr Smith's ECG Blog
1 year prior with a similar event
HyperK (7.3)
Junctional Escape
LAFB + RBBB
Peaked T
ECG FOAM
Ken Grauer, Pendell Meyers, Steve Smith
A 50s year old man with lightheadedness and bradycardia
Dr Smith's ECG Blog
Triage 15:33
Grouped
HyperK (7.7)
~LAFB + RBBB
Peaked T
RBBB
ECG FOAM
Ken Grauer, Pendell Meyers, Steve Smith
A 50s year old man with lightheadedness and bradycardia
Dr Smith's ECG Blog
20min later
Concordant STE
LAFB + RBBB
Serial ECG
ECG FOAM
Pendell Meyers, Steve Smith
A man in his 40s who really needs you to understand his ECG
Dr Smith's ECG Blog
On arrival
Concordant STE
LAFB + RBBB
Serial ECG
ECG FOAM
Pendell Meyers, Steve Smith
A man in his 40s who really needs you to understand his ECG
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
Triage - 1.5h pain
Aortic Stenosis
Chest Pain
Coronary Embolism
LVH
LVH + LAD MI
NSR
Recip STD
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
Visit 3 - first ECG
Chest Pain
LVH
2° Repol Δ
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab?
Dr Smith's ECG Blog
Visit 1 - first ECG
Chest Pain
LVH
2° Repol Δ
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab?
Dr Smith's ECG Blog
Visit 2 - first ECG
Chest Pain
LVH
2° Repol Δ
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab?
Dr Smith's ECG Blog
Chest Pain
Concordant STD V1-3
Excess Disc. STD
LBBB
LBBB High Lateral MI
Sinus Tach
ECG FOAM
Steve Smith
Acute Chest pain with LBBB. What is going on?
Dr Smith's ECG Blog
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