Reciprocal ST Depression absent -- this is commonSubtle LAD Occlusion6 Min Read Steve SmithonMay 11, 2019 A 50-something male with acute chest pain A 50 y.o. male was sitting at a work conference when he began having substernal chest pain with diaphoresis. He had a history of…
anterior STEMI equationAnterior STEMI with minimal ST elevation less than 1 mmhyperacute T-wavesleft mainOMI5 Min Read Steve SmithonMay 7, 2019 What happens when you don’t recognize an OMI? This was sent by an “avid reader.” The case was from his hospital, which does not have a cath lab. Case A 60-something male…
5 Min Read Steve SmithonMay 6, 2019 A Middle-Aged male with Chest Pain and an Unusual ECG This ECG was sent from South Asia. The patient presented with chest pain. Here is the ECG: What do you think? I frankly did not know what to…
de Winter's T-wavesLAD occlusionOMISubtle LADSubtle LAD OcclusionType_III_wraparound_LADwraparound LAD5 Min Read Pendell MeyersonMay 2, 2019 Doctor, should we activate the hospital’s “STEMI alert”? Written by Pendell Meyers I received this prehospital ECG (we receive prehospital ECGs by telemetry from EMS in a large area around our…
Lewis Leadsinus tachycardiaSVT-NOTtachycardia5 Min Read Steve SmithonMay 1, 2019 Regular, steady, and fast at 170 (wide or narrow?), hypoxic, crackles in lungs, B-lines, unconscious A 60-something who lives in a nursing home was found unconscious and hypoxic. EMS was called and their monitor showed an “SVT” at…