LAD occlusionRBBB1 Min Read Steve SmithonNovember 16, 2012 Chest Pain and Right Bundle Branch Block. What is the Diagnosis? A male in his 70’s with no h/o MI or CAD presented with new onset chest pain. Here is his ED ECG: There is sinus rhythm and right…
"inferior" ST depressionalternating BBBanterior STEMI equationLAD occlusionLAD occlusion vs. benign early repolarizationPrecordial swirl2 Min Read Steve SmithonAugust 9, 2012 Crushing Chest pain, but the ECG is not obvious; later there is both RBBB and LBBB A 63 year old male presented with crushing chest pain. Prehospital BP was 70, but higher in the ED. Here is the initial ECG at 1033 PM:…
LAD occlusionpaced rhythmpacing1 Min Read Steve SmithonDecember 22, 2010 LAD occlusion in the setting of paced rhythm An 80 yo male presented with chest pain. There is clearly a ventricular paced rhythm. Normally in a paced rhythm, the QRS is all negative from…
"inferior" ST depressionAnterior STEMI with minimal ST elevation less than 1 mmcomputerhyperacute T-wavesLAD occlusionmissed STEMIPrecordial swirlsubtle2 Min Read Steve SmithonAugust 13, 2010 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…
hyperacute T-wavesLAD occlusion1 Min Read Steve SmithonAugust 11, 2010 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.…
LAD occlusionRBBB1 Min Read Steve SmithonJanuary 12, 2010 Right Bundle Branch Block (RBBB) with Anterolateral STEMI A 62 yo male with h/o CAD and stent in 1st OM presented with Chest pain while biking. Vitals were normal. An ECG was recorded: There is Right…