"inferior" ST depressionDiagonal branch (D1 or D2)high lateral MIsigns of reperfusionT-Wave inversion1 Min Read Steve SmithonApril 27, 2011 “Inferior” ST depression: What is the diagnosis? This 58 year old man presented at noon with chest pain that began the previous evening and became constant less than one hour prior. Now…
echocardiogrampulmonary embolismSyncopeT-Wave inversion1 Min Read Steve SmithonApril 2, 2011 Answer: pulmonary embolism. Now another, with ultrasound…. This 18 year old presented with syncope and tachycardia. Similar to the last case (the “quiz”), there is sinus tachycardia with…
Anterior STEMI with minimal ST elevation less than 1 mmanterior T wave inversionevolving STEMINonSTEMINSTEMIserial ECGserial EKGT-Wave inversion3 Min Read Steve SmithonMarch 30, 2011 Anterior MI: Ongoing STEMI, reperfused STEMI, or NonSTEMI? An 80 yo male presented with chest pain onset 1130 AM. The prehospital ECG was reported to have some “ST depression”,…
serial ECGT-Wave inversionWellens' classic evolutionWellens' syndrome1 Min Read Steve SmithonMarch 20, 2011 Classic Evolution of Wellens’ T-waves over 26 hours A middle-aged patient presented with resolved chest pain. t = 0, presentation to ED: Initial ECG of 50 yo woman who had prehospital chest…
Right Ventricular HypertrophyRVHSyncopeT-Wave inversion1 Min Read Steve SmithonApril 28, 2010 21 yo F with Syncope has Right Ventricular Hypertrophy and Pulmonary Hypertension This 21 yo otherwise healthy woman, with a history of one episode of syncope 3 months prior, had onset of SOB, chest tightness, and epigastric…