early repolarizationLAD occlusion vs. benign early repolarizationPseudoSTEMI2 Min Read Steve SmithonSeptember 6, 2014 A 50-something year old with typical chest pain A middle age male presented with chest pain. Here is his ECG; there was no previous for comparison: QTc is 380 ms. There is 3 mm of STE…
cardiac arrestLVHPseudoSTEMIstress cardiomyopathyultrasound3 Min Read Steve SmithonAugust 6, 2014 Massive ST Elevation After V Fib Arrest, Discordant Bedside Echo Results A woman in her 40’s was brought the ED (not by ambulance) for what is believed to be a seizure. She was reportedly very anxious…
atrial flutterPseudoSTEMI1 Min Read Steve SmithonOctober 10, 2013 Atrial Flutter with Inferior STEMI? A 40-something year old male presented with tachycardia. Computer analysis: Atrial Flutter with Inferior ST Elevation MI. The computer (and…
hyperKhyperkalemiahyperkalemia mimics inferior OMIHyperkalemia PseudoSTEMI casespseudoinfarctionPseudoSTEMI2 Min Read Steve SmithonJune 15, 2013 A Tragic Case, related to the last post 5-10 years ago, a male in his 70’s presented with weakness. There was no chest pain. Here is his initial ECG: There is…
Drug EffectflecainidePseudoSTEMIRBBBSodium Channel Blockade3 Min Read Steve SmithonJanuary 4, 2013 Right Bundle Branch Block with New Anterior ST elevation An elderly female with no known history of CAD presented to the ED as a walk-in with vomiting and upper abdominal discomfort. The…
LVHPseudoSTEMI1 Min Read Steve SmithonOctober 8, 2009 Left Ventricular Hypertrophy May Result in Profound ST Elevation This 75 year old man presented with weakness. His blood pressure was 220/80. He was found to have renal failure. He ruled out for MI. There…