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Widespread ST Elevation
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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
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
Several days later
Aortic Dissection
Normal Variant ST Elevation
-Pericarditis
Widespread STE
ECG FOAM
Pendell Meyers, Steve Smith
"Pericarditis" strikes again
Dr Smith's ECG Blog
Repeat
Aortic Dissection
Widespread STE
ECG FOAM
Pendell Meyers, Steve Smith
"Pericarditis" strikes again
Dr Smith's ECG Blog
Triage
Aortic Dissection
-Pericarditis
Widespread STE
ECG FOAM
Pendell Meyers, Steve Smith
"Pericarditis" strikes again
Dr Smith's ECG Blog
Downsloping TP Segment
Normal Variant ST Elevation
-Pericarditis
Widespread STE
ECG FOAM
Ken Grauer, Steve Smith
A Young Man with Sharp Chest pain
Dr Smith's ECG Blog
2 weeks later
Tinv
Resolved Widespread STE
ECG FOAM
Steve Smith
ST Elevation after Stab Wound to the Heart
Dr Smith's ECG Blog
Downsloping TP Segment
Pericarditis
PR depress
ST Depression in aVL
Widespread STE
ECG FOAM
Steve Smith
Why is there ST depression in aVL in this case of Pericarditis?
Dr Smith's ECG Blog
Initial
Pericarditis
-Recip STD
Widespread STE
ECG FOAM
Steve Smith
Diffuse ST Elevation. Diagnosis confirmed with Bedside Echo.
Dr Smith's ECG Blog
2h later
-Takotsubo
Widespread STE
Wraparound LAD MI
ECG FOAM
Steve Smith
DIffuse ST Elevation with Apical Ballooning: is it Takotsubo Stress Cardiomyopathy?
Dr Smith's ECG Blog
-Takotsubo
Widespread STE
Wraparound LAD MI
ECG FOAM
Steve Smith
DIffuse ST Elevation with Apical Ballooning: is it Takotsubo Stress Cardiomyopathy?
Dr Smith's ECG Blog
Prehospital
Left Main Occlusion
Widespread STE
ECG FOAM
Steve Smith
ST Elevation in Lead aVR, with diffuse ST depression, does not represent left main occlusion
Dr Smith's ECG Blog
Day 5
Pericarditis
Widespread STE
ECG FOAM
Steve Smith
Severe Atypical Chest Pain in a Young Woman: Series of Pericarditis ECGs
Dr Smith's ECG Blog
Day 3
Pericarditis
PR depress
Widespread STE
ECG FOAM
Steve Smith
Severe Atypical Chest Pain in a Young Woman: Series of Pericarditis ECGs
Dr Smith's ECG Blog
Right sided
Right Leads
ST Elevation in V4R
Widespread STE
ECG FOAM
Steve Smith
24 yo woman with chest pain: Is this STEMI? Pericarditis? Beware a negative Bedside ultrasound.
Dr Smith's ECG Blog
30min later
-Pericarditis
Recip STD
Widespread STE
Wraparound LAD MI
ECG FOAM
Steve Smith
24 yo woman with chest pain: Is this STEMI? Pericarditis? Beware a negative Bedside ultrasound.
Dr Smith's ECG Blog
Arrival
Recip STD
Widespread STE
Wraparound LAD MI
ECG FOAM
Steve Smith
24 yo woman with chest pain: Is this STEMI? Pericarditis? Beware a negative Bedside ultrasound.
Dr Smith's ECG Blog
Prehospital
Widespread STE
Wraparound LAD MI
ECG FOAM
Steve Smith
24 yo woman with chest pain: Is this STEMI? Pericarditis? Beware a negative Bedside ultrasound.
Dr Smith's ECG Blog
4 months ago
Normal Variant ST Elevation
-Pericarditis
Widespread STE
ECG FOAM
Steve Smith
Widespread ST Elevation. Activate the Cath Lab?
Dr Smith's ECG Blog
6 weeks ago
Normal Variant ST Elevation
-Pericarditis
Widespread STE
ECG FOAM
Steve Smith
Widespread ST Elevation. Activate the Cath Lab?
Dr Smith's ECG Blog
Initial
Normal Variant ST Elevation
-Pericarditis
Widespread STE
ECG FOAM
Steve Smith
Widespread ST Elevation. Activate the Cath Lab?
Dr Smith's ECG Blog
Myopericarditis
Widespread STE
ECG FOAM
Steve Smith
Chest pain, tachycardia, diffuse ST elevation. What is the diagnosis?
Dr Smith's ECG Blog
-Myocarditis
Widespread STE
Wraparound LAD MI
ECG FOAM
Steve Smith
Without reciprocal ST depression or hyperacute T's, inferolateral MI and myo- or pericarditis are impossible to distinguish
Dr Smith's ECG Blog
Initial
-Pericarditis
Widespread STE
Wraparound LAD MI
ECG FOAM
Steve Smith
Is it MI or pericarditis?
Dr Smith's ECG Blog
Machine Interpretation Error
-Pericarditis
Terminal QRS Distortion
Widespread STE
Wraparound LAD MI
ECG FOAM
Steve Smith
The computer is often wrong
Dr Smith's ECG Blog
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