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Variable P Wave
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Variable P Wave
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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
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
Prehospital
Concordant STE
LAFB + RBBB
Prox LAD MI - Bifasc
2°AVB 2:1
ECG FOAM
Pendell Meyers, Steve Smith
A man in his 40s who really needs you to understand his ECG
Dr Smith's ECG Blog
LAFB + RBBB
ECG FOAM
RBBB + LAFB: Bifascicular Block-KH
ECG Learning Center
LAFB + RBBB
ECG FOAM
RBBB + LAFB = Bifascicular block-KH
ECG Learning Center
LAFB + RBBB
ECG FOAM
Bifascicular Block: RBBB + LAFB-KH
ECG Learning Center
LAFB + RBBB
ECG FOAM
Bifascicular Block: RBBB + LAFB
ECG Learning Center
Chest Pain
LAFB + RBBB
Left Main Occlusion with New Bifascicular Block
Sinus Tach
ECG FOAM
Pendell Meyers, Steve Smith
A deadly alcohol binge: a man in his 30s with chest pain and initial high sensitivity troponin I within normal limits
Dr Smith's ECG Blog
The next day
Resolved LAFB + RBBB
Pathological Q Wave
Post-Intervention ECG
ECG FOAM
Pendell Meyers
Cardiac Arrest at the airport, with an easy but important ECG for everyone to recognize
Dr Smith's ECG Blog
En route to hospital
Arrest
Concordant STE
LAFB + RBBB
Long PR
Prox LAD MI - Bifasc
Sinus Tach
ECG FOAM
Pendell Meyers
Cardiac Arrest at the airport, with an easy but important ECG for everyone to recognize
Dr Smith's ECG Blog
Serial
1°AVB
Hypertrophic Cardiomyopathy
LAFB + RBBB
12-lead
ECG FOAM
Steve Smith
An 80-something with weakness, cough, and CP. Should this ECG provoke a Prehospital Cath Lab activation?
Dr Smith's ECG Blog
Initial
Hypertrophic Cardiomyopathy
LAFB + RBBB
12-lead
Tall QRS
ECG FOAM
Steve Smith
An 80-something with weakness, cough, and CP. Should this ECG provoke a Prehospital Cath Lab activation?
Dr Smith's ECG Blog
Prehospital
1°AVB
Hypertrophic Cardiomyopathy
LAFB + RBBB
12-lead
Tall QRS
ECG FOAM
Steve Smith
An 80-something with weakness, cough, and CP. Should this ECG provoke a Prehospital Cath Lab activation?
Dr Smith's ECG Blog
Posterior leads
LAFB + RBBB
Posterior + RBBB MI
Posterior Leads
ST Elevation in Posterior Leads V7-9
12-lead
ECG FOAM
Pendell Meyers, Steve Smith
"It isn't a STEMI," so cath lab refusal (again). Were they right?
Dr Smith's ECG Blog
Prehospital
Abdo Pain
Junctional Escape
LAFB + RBBB
Posterior + RBBB MI
ECG FOAM
Pendell Meyers, Steve Smith
"It isn't a STEMI," so cath lab refusal (again). Were they right?
Dr Smith's ECG Blog
Blocked PAC
Grouped
PAC
12-lead
Variable P
ECG FOAM
Ken Grauer, Steve Smith
40 Something Man with Palpitations and Grouped Beating: Is it Wenckebach?
Dr Smith's ECG Blog
LAFB + RBBB
Mobitz 2
ECG FOAM
Steve Smith
A Pre-operative ECG on a patient with a hip fracture
Dr Smith's ECG Blog
LAFB + RBBB
Left Main Occlusion with New Bifascicular Block
ECG FOAM
Rohin Francis, Sam Ghali, Pendell Meyers, Steve Smith
How does Acute Total Left Main Coronary occlusion present on the ECG?
Dr Smith's ECG Blog
After re-arrest
Arrest
LAFB + RBBB
Sinus Tach
WCT
ECG FOAM
Steve Smith
Sudden Cardiac Arrest: why does the Heart Just Die?
Dr Smith's ECG Blog
Initial
LAFB + RBBB
MI
ST Elevation in V1
ECG FOAM
Steve Smith
Chest Pain and RBBB. What do you think?
Dr Smith's ECG Blog
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