Atrial Fibrillation with RVRAtrial Fibrillation with RVR exaggerates ST ElevationLBBBOMI Mimic5 Min Read Steve SmithonJanuary 12, 2022 Wide Complex Tachycardia with Huge ST Elevation. What is going on? This 70-something woman with no significant past history (no previous ECGs or cardiac history) presented by EMS with fairly acute chest…
Atrial Fibrillation with RVRSTDmaxV1-42 Min Read Steve SmithonNovember 15, 2021 Is this ST depression due to OMI or due to subendocardial ischemia? This is critical to distinguish, and this is a trick case! We just today published this very important article in the Journal of the American Heart Association: Ischemic ST‐Segment Depression Maximal…
Atrial Fibrillation with RVRposterior OMIPosterior STEMI vs. Subendocardial ischemiaST Depression Maximal V2-V4 due to subendocardial ischemia5 Min Read Steve SmithonMay 25, 2021 Atrial Fibrillation w Rapid Ventricular Response and ST Depression Maximal V1-V4: Not always subendocardial. A patient presented a few years ago with chest pain, but also cough, low grade fever, and malaise. She had one prehospital saturation at…
Atrial Fibrillation with RVRechocardiogramMitral Stenosis4 Min Read Steve SmithonApril 4, 2021 Paroxysmal Atrial Fibrillation with RVR, hypotension, volume depletion, good EF, AND pulmonary edema. Strange. Why? What to do? A 30-something woman presented with a few days of feeling ill. She had a history of paroxysmal atrial fibrillation, bio-prosthetic…
Atrial Fibrillation with RVRST depression does not Localize to the ischemic wallST Depression Maximal V2-V4 due to subendocardial ischemia6 Min Read Steve SmithonJune 17, 2020 A 60-something has chest tightness, palpitations, and ST depression V1-V3 A 60-something has chest tightness, palpitations. Charts showed a history of some mitral regurgitation and an enlarge left atrium, as…