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Transient MI
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33min later
LAD occlusion
-Transient 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
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
Initial 0735
LVH + LAD MI
Transient MI
ECG FOAM
A man in his 50s with acute chest pain and LVH
Dr Smith's ECG Blog
Dynamic
Serial ECG
12-lead
Transient MI
ECG FOAM
Steve Smith
This case was flagged as a false positive cath lab activation. Why? And do you agree?
Dr Smith's ECG Blog
Coronary Artery Spasm
Double Speed
PVC
Shark Fin
Transient MI
ECG FOAM
Pendell Meyers, Magnus Nossen, Steve Smith
Fascinating case of dynamic shark fin morphology - what is going on?
Dr Smith's ECG Blog
Coronary Artery Spasm
Double Speed
Shark Fin
Transient MI
ECG FOAM
Pendell Meyers, Magnus Nossen, Steve Smith
Fascinating case of dynamic shark fin morphology - what is going on?
Dr Smith's ECG Blog
Arrival
Dynamic
Serial ECG
STD
STE
12-lead
Subtle Inferoposterior MI
Transient MI
ECG FOAM
Steve Smith
Dynamic ST Elevation
Dr Smith's ECG Blog
Serial
Dynamic
12-lead
Transient MI
Ventricular Pacing
ECG FOAM
Pendell Meyers, Steve Smith, Brooks Walsh
Cardiologists need to keep an open mind and be capable of listening to, and learning from, the Emergency Physician
Dr Smith's ECG Blog
24h later
Pathological Q Wave
Reperfusion T Wave
Transient MI
ECG FOAM
Steve Smith
40-something male in a head-on Motor Vehicle Collision and Splenic Injury
Dr Smith's ECG Blog
Arrival
Hyperacute T MI - Tall
Transient MI
Wraparound LAD MI
ECG FOAM
Steve Smith
40-something male in a head-on Motor Vehicle Collision and Splenic Injury
Dr Smith's ECG Blog
Prehospital
Anterior MI
LAD occlusion
Transient MI
Transient ST Elevation
ECG FOAM
Salim Rezaie, Steve Smith
How unreliable are computer algorithms in the Diagnosis of STEMI?
Dr Smith's ECG Blog
Prior to cath lab
Coronary Artery Spasm
Reperfusion T Wave
Transient MI
ECG FOAM
Steve Smith
Syncope Several Times, Complete Heart Block, And a Surprise ECG in the ED!
Dr Smith's ECG Blog
Pain resolved again
Reperfusion
Transient MI
ECG FOAM
Steve Smith
Syncope Several Times, Complete Heart Block, And a Surprise ECG in the ED!
Dr Smith's ECG Blog
10h later
-Reperfusion T Wave
Transient MI
ECG FOAM
Steve Smith
Transient STEMI, no T-wave Evolution and no Wall Motion Abnormality
Dr Smith's ECG Blog
2.5h later
-Reperfusion T Wave
Transient MI
ECG FOAM
Steve Smith
Transient STEMI, no T-wave Evolution and no Wall Motion Abnormality
Dr Smith's ECG Blog
Pain resolved
Resolved STE
Transient MI
ECG FOAM
Steve Smith
Transient STEMI, no T-wave Evolution and no Wall Motion Abnormality
Dr Smith's ECG Blog
Initial
Subtle Inferoposterior MI
Transient MI
ECG FOAM
Steve Smith
Unstable Angina: Again, it still exists......
Dr Smith's ECG Blog
4h later
Reperfusion
Transient MI
ECG FOAM
Steve Smith
Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG.
Dr Smith's ECG Blog
Arrival, 25min later
Hyperacute T MI - Tall
Transient MI
ECG FOAM
Steve Smith
Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG.
Dr Smith's ECG Blog
Prehospital
Hyperacute T MI - Tall
Transient MI
ECG FOAM
Steve Smith
Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG.
Dr Smith's ECG Blog