Take a look at this prehospital ECG:
Follow on Twitter: smithECGBlog A 49 year old woman with chest pain arrived. The medics had recorded this ECG. What is the…
Is it MI or pericarditis?
I had a recent comment on this post, which was put up 7 years ago (850 posts since then!). I was reminded of it. And so I thought…
Stuttering thrombus in the LAD, dynamic hyperacute T-waves, Q-waves, full resolution at 3 months
A 70 y.o. woman who presented with L arm pain that started at 6:45 in the morning when she woke up. Pain was also in the upper…
Inferior hyperacute T-waves. The clue is T-wave inversion in aVL. Serial ECGs evolve to ST Elevation.
This is a 66 year old male with severe substernal chest pain. He was intermittently bradycardic down to the 30’s with a blood…
Hyperacute T-waves, missed by computer, short DBT, but large myocardial infarction
This 57 yo male with no past medical history had sudden onset of chest pain while sleeping. He called 911 at midnight and his…
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…
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.…
Coronary occlusion need not have 1 mm ST elevation; often it does not
A 53 year old male with no previous cardiac history presented with sudden substernal chest pain with tingling of bilateral arms and dyspnea.…
HyperKalemia with Cardiac Arrest. Peaked T waves: Hyperacute (STEMI) vs. Early Repolarizaton vs. Hyperkalemia
For more on hyperkalemia, click here (includes a great case of incessant ventricular tachycardia). For more on early repolarization, see these…
Hyperacute T waves
Below are several examples of hyperacute T waves. Click here for more great examples of hyperacute T-waves. Click here for cases of…