15-lead ECGPrecordial swirlprecordial Swirl due to Right Ventricular MIRCA Proximal with Collateral circulationright sided leadsSeptal STEMI5 Min Read Steve SmithonMarch 13, 2013 Septal STEMI with ST elevation in V1 and V4R, and reciprocal ST depression in V5, V6 This was sent to me by a reader named Aaron. A 36 yo male smoker presented to the ED with chest pain. It had started the night before as…
"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:…
aVRPrecordial swirlpseudo RVMIright sided leadsRV MI2 Min Read Steve SmithonFebruary 18, 2012 Pseudo Right Ventricular MI This most recent post will help you understand this post here: I was nordic skiing out in the wilds of the Upper Peninsula of Michigan when I…
"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…
Anterior STEMI with minimal ST elevation less than 1 mmPrecordial swirl2 Min Read Steve SmithonJanuary 15, 2010 Very subtle anterior OMI, TIMI II flow with thrombus This 48 yo male with no previous MI had a cardiac arrest while playing raquetball. Is there ischemia? Is there occlusion (which is the reason…