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Wraparound LAD MI
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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 17:00
Dynamic
HyperT
Serial ECG
STE
Wraparound LAD MI
ECG FOAM
Parker Hambright, Jesse McLaren, Pendell Meyers, Steve Smith
A man in his 50s with hypoxemic respiratory failure from COVID pneumonia develops chest pain
Dr Smith's ECG Blog
Next day
Post-Intervention ECG
Wraparound LAD MI
ECG FOAM
Steve Smith
A 20-something woman with Chest Pain
Dr Smith's ECG Blog
Arrival
Dynamic
HyperT
Wraparound LAD MI
ECG FOAM
Steve Smith
A 20-something woman with Chest Pain
Dr Smith's ECG Blog
Prehospital
HyperT
Wraparound LAD MI
ECG FOAM
Steve Smith
A 20-something woman with Chest Pain
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
Post reperfusion
Pathological Q Wave
Post-Intervention ECG
Wraparound LAD MI
ECG FOAM
Cam Mosley, Steve Smith
The computer and the cardiologist called this a "Normal EKG"
Dr Smith's ECG Blog
Initial
Hyperacute T MI - Bulky
Machine Interpretation Error
Wraparound LAD MI
ECG FOAM
Cam Mosley, Steve Smith
The computer and the cardiologist called this a "Normal EKG"
Dr Smith's ECG Blog
De Winter T MI
DeWinter T
Wraparound LAD MI
ECG FOAM
Pendell Meyers
Doctor, should we activate the hospital's "STEMI alert"?
Dr Smith's ECG Blog
Triage
Transient ST Elevation
Wraparound LAD MI
ECG FOAM
Steve Smith
Is this a STEMI? No, not by definition! Why not? Why is this Important?
Dr Smith's ECG Blog
Initial
-Pericarditis
Terminal QRS Distortion
Wraparound LAD MI
ECG FOAM
Ken Grauer, Pendell Meyers, Steve Smith
You Diagnose Pericarditis at your Peril (at the Patient's Peril!)
Dr Smith's ECG Blog
14min later
Sinus Brady
Wraparound LAD MI
ECG FOAM
Steve Smith
Patient presentation is important, and so is R-wave amplitude
Dr Smith's ECG Blog
Initial
Anterior STE
Inf STE
Sinus Brady
Wraparound LAD MI
ECG FOAM
Steve Smith
Patient presentation is important, and so is R-wave amplitude
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
Initial
LAD occlusion
Pathological Q Wave
Wraparound LAD MI
ECG FOAM
Steve Smith
Another STEMI in a Young Person with no CP or SOB: Why We Should Record an ECG for Unexplained Nonspecific Symptoms
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
Initial
Coronary Embolism
LAD occlusion
Subtle Anterior MI
Wraparound LAD MI
ECG FOAM
Steve Smith
Is this ACS? Look at the previous ECG!!
Dr Smith's ECG Blog
27min later
Reperfusion
Wraparound LAD MI
ECG FOAM
Steve Smith
Pericarditis, or Anterior STEMI? The QRS proves it.
Dr Smith's ECG Blog
Initial
Fragmented QRS
-Pericarditis
Terminal QRS Distortion
Wraparound LAD MI
ECG FOAM
Steve Smith
Pericarditis, or Anterior STEMI? The QRS proves it.
Dr Smith's ECG Blog
17min later
Wraparound LAD MI
ECG FOAM
Steve Smith
Hyperacute T-waves, with a Twist
Dr Smith's ECG Blog
Arrival
Wraparound LAD MI
ECG FOAM
Steve Smith
Is it STEMI or Non STEMI? What you call it has consequences.
Dr Smith's ECG Blog
Arrival
Wraparound LAD MI
ECG FOAM
Steve Smith
Would you activate the cath lab prehospital?
Dr Smith's ECG Blog
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