anterior T wave inversionpulmonary embolism1 Min Read Steve SmithonMarch 30, 2011 This is a quiz. The ECG is nearly pathognomonic. Answer at bottom. A 38 year old with chest pain and SOB: The answer can be found here (a different example of the same pathology, with explanation):…
Anterior STEMI with minimal ST elevation less than 1 mmanterior T wave inversionevolving STEMINonSTEMINSTEMIserial ECGserial EKGT-Wave inversion3 Min Read Steve SmithonMarch 30, 2011 Anterior MI: Ongoing STEMI, reperfused STEMI, or NonSTEMI? An 80 yo male presented with chest pain onset 1130 AM. The prehospital ECG was reported to have some “ST depression”,…
concordanceLBBBmyocardial ruptureNew LBBBultrasound1 Min Read Steve SmithonMarch 21, 2011 LBBB with acute STEMI due to ruptured obtuse marginal, diagnosed with bedside ultrasound This 74 yo male had just returned to his unit bed after successful PTCA of tight lesions of the first diagonal and obtuse marginal coronaries.…
serial ECGT-Wave inversionWellens' classic evolutionWellens' syndrome1 Min Read Steve SmithonMarch 20, 2011 Classic Evolution of Wellens’ T-waves over 26 hours A middle-aged patient presented with resolved chest pain. t = 0, presentation to ED: Initial ECG of 50 yo woman who had prehospital chest…
posterior reperfusion T-waves2 Min Read Steve SmithonMarch 10, 2011 Reperfusion through collaterals associated with nitroglycerin, lead reversal mimics T-wave inversion (and fooled me) This 69 yo male with a history of HTN, but no h/o CAD, presented with chest pain at an outside hospital at 1700 hours with chest pain onset at…
anterior T wave inversionpulmonary embolismWellens' syndrome2 Min Read Steve SmithonMarch 4, 2011 Chest Pain, SOB, anterior T-wave inversion, positive troponin This 38 yo male presented with chest pain with activity for 4 days, worse on the day of presentation, and associated with SOB. He has a…