Cardiac Arrest, acute ST elevation and depression superimposed on LVH, but NOT due to ACS
This young male had ventricular fibrillation during a triathlon. He was resuscitated with chest compressions and defibrillation and 1 mg of…
Wide Complex Tachycardia converted, subsequent 12-lead with ST elevation due to WPW
This 58 yo male with a PMHx only significant for Sleep Apnea felt dizzy, lightheaded and nauseated after exerting himself, with no CP or SOB.…
35 yo woman with LAD occlusion manifesting with only hyperacute Ts and inferior ST depression, also missed by computer
Click here for other cases of missed STEMI. Click here for cases of early repolarization vs. LAD occlusion. A 35 yo woman had the sudden…
ST depression does not localize: 2 cases of “inferior” ST depression diagnostic of high lateral STEMI
Case 1: This is a 72 yo male with h/o CABG who presents with 5.5 hours of sudden onset, constant, substernal chest pressure. Here is the…
Anterior Hyperacute T-waves diagnostic of LAD Occlusion
This series of ECGs from a patient with LAD occlusion shows hyperacute T waves in precordial leads, as well as ST elevation in V1-V3 and aVL.…
New upright T-wave that is NOT pseudonormalization
A 79 yo female presented with crescendo angina. She has a history of anterior STEMI a few years ago treated with tPA. She has DM, HTN, and…
Cardiac Arrest, Ventricular Fibrillation, Inferior and Right ventricular MI (RVMI) or “Pseudoanteroseptal MI”
A 56 yo f with h/o HTN and hypercholesterolemia called EMS from home after onset of L chest pain radiating to the left arm. Before EMS…
Cardiac Arrest suddenly after blood loss, is it due to MI? Also, when the rhythm looks like torsade, it is usually not.
A 74 yo f with ESRD on dialysis and h/o CAD bumped her access fistula and began to bleed profusely. She had a prehospital BP of 60, pulse 70,…
Inferolateral ST elevation might be pericarditis, but not with Reciprocal ST depression in aVL
This 47 yo male with 2 risk factors had onset of substernal CP while watching TV and smoking a cigarette. It felt “sharp” as if…
Inferior ST depression in ACS is reciprocal to ST elevation in aVL
For this topic, see also this post: https://drsmithsecgblog.com/2009/01/st-depression-limited-to-inferior-leads.html This 72 yo male with h/o…