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Ventricular Tachycardia
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Ventricular 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
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
Prox LAD MI - Bifasc
Shark Fin
Sinus Tach
-VT
ECG FOAM
Pendell Meyers, Steve Smith
An elderly woman with acute vomiting, presyncope, and hypotension, and a wide QRS complex
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
Resolved Arrest
Shark Fin
-VT
ECG FOAM
Steve Smith
Does this single lead show a wide complex tachycardia?
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
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
Next day
Chest Pain
Tinv
LVH
2° Repol Δ
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Acute chest pain and a difficult ECG
Dr Smith's ECG Blog
Pain resolved
Resolved Chest Pain
Resolved Tinv
LVH
Serial ECG
ECG FOAM
Ken Grauer, Jesse McLaren, Pendell Meyers, Steve Smith
Acute chest pain and a difficult ECG
Dr Smith's ECG Blog
Chest pain 24h later
Chest Pain
HyperT
Pseudo-Normal T
Re-occlusion
Serial ECG
ECG FOAM
Steve Smith
When Normal is only Pseudo-Normal, it can deceive the caregivers.
Dr Smith's ECG Blog
Pain free again
Resolved Chest Pain
Wellens A
Serial ECG
ECG FOAM
Steve Smith
When Normal is only Pseudo-Normal, it can deceive the caregivers.
Dr Smith's ECG Blog
Pain recurred 8/10
Chest Pain
HyperT
Pseudo-Normal T
Serial ECG
ECG FOAM
Steve Smith
When Normal is only Pseudo-Normal, it can deceive the caregivers.
Dr Smith's ECG Blog
Pain resolved
Up-Down T
Resolved Chest Pain
Wellens A
Serial ECG
ECG FOAM
Steve Smith
When Normal is only Pseudo-Normal, it can deceive the caregivers.
Dr Smith's ECG Blog
Pain resolving 3/10
Resolved Chest Pain
Dynamic
Resolved HyperT
Serial ECG
ECG FOAM
Steve Smith
When Normal is only Pseudo-Normal, it can deceive the caregivers.
Dr Smith's ECG Blog
Initial - pain 7/10
Chest Pain
HyperT
ECG FOAM
Steve Smith
When Normal is only Pseudo-Normal, it can deceive the caregivers.
Dr Smith's ECG Blog
Prehospital
Chest Pain
Dynamic
ECG FOAM
Steve Smith
All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing.
Dr Smith's ECG Blog
Recurrent pain 1h later
Chest Pain
Dynamic
Serial ECG
Resolved STD
ECG FOAM
Steve Smith
All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing.
Dr Smith's ECG Blog
Pain Free
Abdo Pain
Baseline Artefact
Resolved Chest Pain
HTN
Normal Angio
STD
ECG FOAM
Steve Smith
All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing.
Dr Smith's ECG Blog
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