Type II STEMI Archives - Dr. Smith’s ECG Blog

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7 Min Read

onMay 20, 2024

An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?

This was sent by an undergraduate (not yet in medical school, but applying now) who works as an ED technician (records all EKGs, helps…

6 Min Read

Jesse McLaren

onAugust 19, 2022

60 year old with vomiting, diarrhea, and syncope: is this Wellens? Is this type 2 MI?

Written by Jesse McLaren, with edits/comments by Smith and Grauer A 60 year-old patient with diabetes and ESRD presented with 24…

2 Min Read

Steve Smith

onJanuary 30, 2021

Chest pain, ST Elevation, and tachycardia in a 40-something woman

A prehospital cath lab activation for STEMI came through with the information that the 40-something woman had chest pain and a pulse of 140.…

9 Min Read

Steve Smith

onSeptember 24, 2020

Repost: Syncope, Shock, AV block, RBBB, Large RV, “Anterior” ST Elevation in V1-V3

I came across this post from 2015 while answering a question on Twitter, and decided to repost it:…

6 Min Read

Steve Smith

onApril 15, 2019

Tachycardia, fever to 105, and ischemic ST Elevation — a Bridge too Far

A near 60 year old male called 911 for increasingly severe fever and SOB. A prehospital ECG was recorded (not shown and not seen by me)…

5 Min Read

Steve Smith

onApril 25, 2018

Cardiac Arrest — Is it STEMI?

A late middle aged male collapsed while walking and had immediate bystander CPR. He achieved ROSC at the door of the ED, 30 minutes…

4 Min Read

Steve Smith

onDecember 15, 2015

Syncope, Shock, AV block, Large RV, “Anterior” ST Elevation….

An elderly male had a syncopal episode. 911 was called. When medics arrived, the patient was alert and following commands.…

3 Min Read

Steve Smith

onJanuary 18, 2015

You Must Read the ECG in Clinical Context….

An elderly male presented with cough and dyspnea, progressive for several days. He had no chest pain. Among his many tests, the…

3 Min Read

Steve Smith

onSeptember 2, 2014

Inferior ST Elevation. BP 250/140.

This 50-something patient with no previous CAD complained of havinng had chest pressure the day prior, but stated she was asymptomatic at the…

3 Min Read

Steve Smith

onSeptember 21, 2011

Cardiac arrest, LBBB with STEMI on the ECG, but no Acute Coronary Syndrome!

This 80 year old with a history of CABG had a cardiac arrest. He was resuscitated after fairly prolonged down time, but regained…

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Type II STEMI

An undergraduate who is an EKG tech sees something. The computer calls it completely normal. How about the physicians?

60 year old with vomiting, diarrhea, and syncope: is this Wellens? Is this type 2 MI?

Chest pain, ST Elevation, and tachycardia in a 40-something woman

Repost: Syncope, Shock, AV block, RBBB, Large RV, “Anterior” ST Elevation in V1-V3

Tachycardia, fever to 105, and ischemic ST Elevation — a Bridge too Far

Cardiac Arrest — Is it STEMI?

Syncope, Shock, AV block, Large RV, “Anterior” ST Elevation….

You Must Read the ECG in Clinical Context….

Inferior ST Elevation. BP 250/140.

Cardiac arrest, LBBB with STEMI on the ECG, but no Acute Coronary Syndrome!