Hyperacute T MI - Tall - MedEd Library

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Initial

Hyperacute T MI - Tall ECG FOAM Jesse McLaren, Pendell Meyers, et.al. A woman in her 30s with several days of chest pain and an episode of altered mental status. Dr Smith's ECG Blog

1752

Hyperacute T MI - Tall ECG FOAM Pendell Meyers, Salim Rezaie, et.al. Chest pain one day after a negative stress test Dr Smith's ECG Blog

1752

Hyperacute T MI - Tall ECG FOAM Pendell Meyers, Salim Rezaie, et.al. Chest pain one day after a negative stress test Dr Smith's ECG Blog

4h later

Hyperacute T MI - Tall Serial ECG ECG FOAM Steve Smith 30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion. Dr Smith's ECG Blog

Pain free

Hyperacute T MI - Tall Transient MI ECG FOAM Steve Smith 30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion. Dr Smith's ECG Blog

24min later

Hyperacute T MI - Tall Transient MI ECG FOAM Steve Smith 30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion. Dr Smith's ECG Blog

13min later

Hyperacute T MI - Tall Transient MI ECG FOAM Steve Smith 30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion. Dr Smith's ECG Blog

Initial

Hyperacute T MI - Tall Transient MI ECG FOAM Steve Smith 30 yo woman with trapezius pain. HEART Pathway = 0. Computer "Normal" ECG. Reality: ECG is Diagnostic of LAD Occlusion. Dr Smith's ECG Blog

0926

Hyperacute T MI - Tall Wraparound LAD MI ECG FOAM Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said "Nothing too exciting." Dr Smith's ECG Blog

Serial

Anterior MI Hyperacute T MI - Tall LAD occlusion ECG FOAM Steve Smith I was reading a stack of ECGs yesterday, and saw this one, with no clinical information.... Dr Smith's ECG Blog

Pain returns

Hyperacute T MI - Tall ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith Watch what happens when "pericarditis" and morphine cloud your judgment Dr Smith's ECG Blog

Arrival

Hyperacute T MI - Tall Serial ECG 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

1 hr later

Hyperacute T MI - Tall Serial ECG 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

On arrival - in pain

Baseline Artefact Chest Pain Hyperacute T MI - Tall 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

Hyperacute T MI - Tall Late Transition Recip STD 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

Chest Pain Hyperacute T MI - Tall 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

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-Hyperacute T MI - Tall Tall T 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

15 min later

Baseline Artefact Dynamic Hyperacute T MI - Tall ECG FOAM Alex Bracey, Benjamin Garbus, Pendell Meyers, Steve Smith Chest pain in a 30-something: Is it Normal variant STE or OMI? Get the prior ECG, and don't trust Point of Care troponin assays! Dr Smith's ECG Blog

Triage

Chest Pain Hyperacute T MI - Tall ECG FOAM Alex Bracey, Benjamin Garbus, Pendell Meyers, Steve Smith Chest pain in a 30-something: Is it Normal variant STE or OMI? Get the prior ECG, and don't trust Point of Care troponin assays! Dr Smith's ECG Blog

6 minutes later

Anterior STE Hyperacute T MI - Tall Normal Variant ST Elevation Sinus Tach ECG FOAM Steve Smith Crushing Chest pain, Tachycardia, and Very Elevated Blood Pressure in a 40-something Man. Dr Smith's ECG Blog

Prehospital ECG 1

Anterior STE Chest Pain Hyperacute T MI - Tall -Normal Variant ST Elevation Sinus Tach ECG FOAM Steve Smith Crushing Chest pain, Tachycardia, and Very Elevated Blood Pressure in a 40-something Man. Dr Smith's ECG Blog

Serial 1

Hyperacute T MI - Tall 12-lead ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith Getting It Right Despite the Wrong Paradigm Dr Smith's ECG Blog

Initial

Hyperacute T MI - Tall Late Transition Sinus Brady 12-lead ECG FOAM Alex Bracey, Pendell Meyers, Steve Smith Getting It Right Despite the Wrong Paradigm Dr Smith's ECG Blog

Initial

Hyperacute T MI - Tall Recip STD 12-lead Subtle Anterior MI ECG FOAM Steve Smith A 53 year old with chest pressure has a diagnostic EKG (EKG 1). What is it? Chest pressure resolves (EKG 2) Dr Smith's ECG Blog

Initial

Hyperacute T MI - Tall ECG FOAM Ken Grauer, Pendell Meyers, Steve Smith A man in his 40s with chest pain reproducible with palpation Dr Smith's ECG Blog

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