re-occlusionreocclusion2 Min Read Steve SmithonAugust 2, 2010 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…
algorithmcomputerterminal QRS distortion1 Min Read Steve SmithonAugust 26, 2009 The computer is often wrong For more on computer misses, click here: This is the prehospital ECG of a 37 year old male with chest pain. It is obviously an acute STEMI,…
LAD occlusion vs. benign early repolarization2 Min Read Steve SmithonJune 10, 2009 Acute anterior STEMI from LAD occlusion, or Benign Early Repolarization (BER)??? For another fascinating related ECG, click here: Acute MI from LAD occlusion, or early repolarization? Case: This is a 46 yo male…
7 Min Read Steve SmithonApril 1, 2009 Pure (Isolated) Posterior STEMI — not so rare, but often ignored! Click here for more cases of posterior MI, and more explanation Case 1. This is a 44 yo male with h/o HTN, CABG at age 34, and 2 drug eluting…
ST depression2 Min Read Steve SmithonNovember 20, 2008 Two cases of ST depression NSTEMI with subtle ST depression. EKG from 11-12. Symptoms on 11-12 were also subtle, but present for 5 days, so if a single troponin was…
LV aneurysmpersistent STEQS-wavesST elevation2 Min Read Scott JoingonNovember 10, 2008 Classic LV aneurysm (persistent ST elevation after previous MI) 70 yo with h/o MI, recent CABG, has acute onset of chest pain. What are the worrisome EKG findings, and what is the differential diagnosis?…