"inferior" ST depressionhigh lateral STEMIlateral STEMIreciprocal ST depressionSTEMI with less than 1 mm ST elevation2 Min Read Steve SmithonDecember 27, 2011 Subtle Lateral ST elevation. False positive. This diagnosis is hard. Case 1. A middle-aged woman presented with severe substernal crushing chest pain radiating to the left shoulder. This was her…
Diffuse ST Depressiondiffuse subendocardial ischemiaventricular fibrillation on a 12 lead2 Min Read Steve SmithonDecember 19, 2011 Ventricular fibrillation on a 12-lead ECG A 54 year old male suddenly collapsed. He had not complained of symptoms prior to this. He received bystander CPR, then was…
embolism CoronaryEmbolus CoronaryProximal RCA culpritRV MIRVMI in lead V1Video of RV MI missed by angiogram1 Min Read Steve SmithonDecember 17, 2011 Right Ventricular MI seen on ECG helps Angiographer to find Culprit Lesion This is a video I made a while back. I thought it was worth a re-post. For those who don’t have time to watch a video,…
LV aneurysm2 Min Read Steve SmithonDecember 14, 2011 This ECG is nearly pathognomonic. What is it? A 45 yo male with a known history of MI presents with a few hours of chest burning, resolved now. Here is his presenting ECG: There is…
inferoposterior STEMIMissed OMI sent homemissed STEMISTEMI with less than 1 mm ST elevation2 Min Read Steve SmithonDecember 9, 2011 Subtle Inferoposterolateral OMI, sent home!! This ECG comes from Tom Bouthillet, who is devoted to good STEMI care, runs the EMS12lead ECG site, and who has also produced an outstanding…
anterior STEMI equationearly repolarizationinferior early repolarizationLAD occlusion vs. benign early repolarization2 Min Read Steve SmithonDecember 4, 2011 Several Cases of ST Elevation from Early Repolarization As I have pointed out in other posts, I have developed an equation to help in the electrocardiographic differentiation…