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For My Comments on Dr. Steve Smith's Blog (as Associate Editor):
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- Subtle Change with Acute Inferior MI — January 7, 2012
- Which Artery? — RCA vs LAD? (Acute RV Infarct) — November 14, 2014
- Persistent Juvenile T Waves (When is it normal?) — January 7, 2015 -
- Echo before ECG for Chest Pain — January 28, 2015 -
- Automatic Synchronized Cardioversion for VT? — Feb. 15, 2015 -
- Not Brugada in V1,V2 — but HyperKalemia! — August 9, 2015 -
- Terminal QRS Distortion vs Early Repol (in V2,V3) — October 6, 2015 -
- LVH + Anterior ST Elevation (vs Ant. STEMI?) — December 29, 2015 -
- Chest Pain & Flu (STEMI vs Localized Myocarditis) — March 18, 2016 -
- Acute Prox LAD Occlusion (RBBB/LAHB- Lambda) — March 21, 2016 -
- A Pathognomonic ECG (long QT, peaked T — Ca++) — March 24, 2016 -
- Acute LMain Occlusion (ECG recognition) — March 26, 2016 -
- Acute STEMI despite Permanent Pacing — April 2, 2016 -
- Resuscitation Pearls / LCx vs RCA "Culprit" — April 17, 2016 -
- DeWinter-like T waves — Should NOT be Missed! — April 20, 2016 -
- 10 Examples to TEST Recognition (Ant. T Waves) — April 23, 2016 -
- 10 Examples of Inferior Hyperacute T Waves — May 1, 2016 -
- ECG Distinction between Acute PE vs Chronic RVH — May 27, 2016 -
- Fusion, Capture beats: "2 Wrongs may make a Right" — June 3, 2016 -
- RBBB and ST Elevation (new STEMI vs LV Aneurysm) — June 6, 2016 -
- Hyperacute Inf. T Waves or Reciprocal ST Changes — June 10, 2016 -
- Anterior STEMI vs Benign Early Repolarization? — June 17, 2016 -
- The Computer Missed WPW (re the Concertina Effect) — June 20, 2016 -
- Terminal QRS Distortion with Acute LAD Occlusion — June 24, 2016 -
- Acute Inferior STEMI — or Is It? — July 1, 2016 -
- Acute Anterior Stemi, Saddleback, Early Repol? — July 8, 2016 -
- Convex ST Elevation not due to STEMI — July 14, 2016 -
- WCT in a 12-Year Old — July 20, 2016 -
- ST Elevation in V1,V2 — RV MI, Brugada or Hyper-K ? — July 24, 2016 -
- Bifascicular vs Trifascular Block / Acute Changes? — July 30, 2016 -
- Proportionality of ST-T and the QRS (Ant. STEMI ) — August 5, 2016 -
- Is this Brugada-1 or a Saddleback? (syncope) — August 10, 2016 -
- Bidirectional VT vs AVNRT with Alternating RBBB? — August 25, 2016 -
- RVH vs RBBB vs Both? -Acute PE? (large RV on Echo) — Sept. 1, 2016 -
- Subtle LCx Occlusion or Not? — Sept. 4, 2016 -
- LAD Occlusion vs Early Repol (interpolated PVC) — Oct. 18, 2016 -
- Right Precordial T Wave Inversion (benign) — Dec. 5, 2016 -
- Changing ST Elevation Distribution (Spasm) — Dec. 7, 2016 -
- Computer Reads "Non-specific" Abnormalities — Dec. 10, 2016 -
- Cabrera Format at 50mm/sec (a patient with chest pain) — Dec. 29, 2016 -
- LVH with Marked ST Depression + Chest Pain — Jan. 6, 2017 -
- Wide Tachycardia with Cyanosis (VT vs SVT ...) — Jan. 10, 2017 -
- LBBB, Chest Pain and Evolving ST-T Changes — Jan. 20, 2017 -
- A Fast SVT in a Child (rate ~220/minute) — Jan. 22, 2017 -
- Cocaine Overdose and Brugada ECG Pattern — Jan 25, 2017 -
- Group Beating & Hyperkalemia (Brugada Phenocopy) — Jan. 27, 2017 -
- Use of the ECG with Severe DKA (U waves) — Feb. 2, 2017 -
- Inferior MI, LVH or Both? (a patient with chest pain) — Feb. 5, 2017 -
- ST Elevation, Neg Troponin but NOT Early Repol! — Feb. 10, 2017 -
- Subtle Use of Smith-Sgarbossa Criteria with LBBB — Feb. 20, 2017 -
- Unstable WCT not responding well to Cardioversion — Feb. 23, 2017 -
- 40yo Man with Chest Pain and "Funny" ST-T Waves — March 1, 2017 -
- Another 40yo Man with Chest Pain (recurring "theme" ) — March 3, 2017 -
- Impending LAD Occlusion (recognizing subtle Wellens) — March 9, 2017 -
- Do Computerized Interpretations Miss Acute STEMI? — March 10, 2017 -
- — Related Post: EMS 12-Lead (on Triaging ED ECGs) — March 11, 2017 -
- VT vs SVT with Aberration in a 20yo with DKA - March 17, 2017 -
- T Peaking and "Pseudo-Infarction" with Dehydration - March 19, 2017 -
- Alternating Fascicular Block Aberrancy (and LSFB! ) - March 31, 2017 -
- RBBB with Transient ST Elevation (Rhythm?) - April 2, 2017 -
- Acute or Recent Anterior MI vs LV Aneurysm? - April 21, 2017 -
- 16yo Girl with Overdose: LBBB vs WPW? - April 23, 2017 -
- 40yo Woman with Chest Pain (KEY subtle findings! ) - April 27, 2017 -
- LVH Pseudo-Infarction Pattern vs Wellens? - May 3, 2017 -
- ST Elevation in V1,V2 in a Patient with LVH - May 6, 2017 -
- TQRSD (Terminal QRS Distortion) - May 13, 2017 -
- Dialysis Patient with Bradycardia ... - May 18, 2017 -
- Acute STEMI in a post-Op Paced Tracing - May 19, 2017 -
- "Busy at Triage" (subtle-but-real LCx signs ... ) - May 26, 2017 -
- Chest Pain, GE Reflux and Subtle ST-T Wave Changes - May 29, 2017 -
- ST Elevation + Reciprocal Change due to? (MI vs K+?) - June 1, 2017 -
- Peaked T Waves in 35yo with DKA/Something Else? - June 17, 2017 -
- Peaked T waves in a 20yo. Anything Else? - June 21, 2017 -
- Pulmonary Edema on Echo + Interesting ECG LVH - July 7, 2017 -
- Subtle ECG Changes in an 82yo with Syncope - July 12, 2017 -
- AV Dissociation: Default/Usurpation (See Ref to me on 7/17/2017-SSmith) -
- The Computer says, "AFib". Do you agree? - August 11, 2017 -
- Effect of Adenosine on this Rhythm? (AFlutter? ) - August 23, 2017 -
- To Thrombolyse after 15 Hrs of Chest Pain? - Sept. 1, 2017 -
- DeWinter T Waves / AIVR - Sept. 24, 2017 -
- A 30yo Woman with Chest Pain. Is her ECG Normal? - Sept 30, 2017 -
- VT or Supraventricular with LBBB? - Oct. 14, 2017 -
- Syncope in an Elderly Man ( ? Wellens ? ) - Oct. 25, 2017 -
- Chest Pain but a Non-Diagnostic ECG ... - Nov. 1, 2017 -
- How to Convince the Cardiologist ??? - Nov. 6, 2017 -
- Chest Pain & a "Normal ECG" by Computer Report - Nov. 10, 2017 -
- 50yo with Chest Pain (Concept of "Competing Conditions") - Nov 15, 2017 -
- 30yo with Chest Pain and this ECG (S1Q3T3; IRBBB,ST) - Nov. 22, 2017 -
- About the QTc Interval (Using the Rule of Thumb for QTc) - Nov. 24, 2017 -
- RBBB, Missed Occlusion on ECG, What is the Rhythm? - Nov 25, 2017 -
- Subtle Abnormality in a 54yo with Chest Pain - Nov. 27, 2017 -
- Post Cardiac Arrest ECG (Acute MI vs something else?) - Nov. 30, 2017 -
- Why the Inf. ST Depression? What's the Rhythm? - Dec. 1, 2017 -
- 30yo with Pulmonary Hypertension and this ECG - Dec. 13, 2017 -
- A Challenging Wide Rhythm (Syncopal patient) - Dec. 16, 2017 -
- Wellens' ST-T Waves or Something Else? - Dec. 18, 2017 -
- Serial Tracings tell the Tale (Cancellation Effect) - Dec. 23, 2017 -
- Not a "STEMI", but NOT Normal! (Ed Burns, LITFL) - Dec. 27, 2017 -
- Subtle Findings in a Patient with Chest Pain - Dec. 29, 2017 -
- There is nothing subtle about this ... Right? - Jan. 2, 2018 -
- Acute MI or Something Else? - Jan. 5, 2018 -
- ST Elevation: STEMI vs Early Repol vs Pericarditis? - Jan. 8, 2018 -
- Use of Terminal QRS Distortion (acute stemi- AIVR) - Jan. 11, 2018 -
- Chest Pain and ST Elevation (old inf MI? Pericarditis?) - Jan. 17, 2018 -
- Repolarization Variant? LVH? and/or Acute STEMI? - Jan. 24, 2018 -
- STEMI? Need for Acute Cath? — or Not? - Jan. 26, 2018 -
- The Importance of Comparison Tracings (subtle! ) - Jan. 28, 2018 -
- Artifact in a Dialysis Patient (Not hyperacute ST-T ! ) - Jan. 30, 2018 -
- Subtle Changes in a Patient with CP (but no doubts! ) - Feb. 1, 2018 -
- Acute LCx Occlusion despite Non-Diagnostic ECG! — Feb. 5, 2018 -
- Cardiac Trauma — Now ST Elevation (on Pericarditis) — Feb. 7, 2018 -
- LBBB + CP — Is there Acute Coronary Occlusion? - Feb. 11, 2018 -
- Subtle Abnormality (in leads III,T inversion in aVL) - Feb. 15, 2018 -
- What's the Temperature? (from an unresponsive woman) - Feb. 19, 2018 -
- Hyperacute ST-T Waves in an evolving STEMI - Feb. 22, 2018 -
- RBBB with Subtle Ischemic Changes ... - Feb. 24, 2018 -
- Diffuse ST Depression + ST Elevation in aVR - Feb. 28, 2018 -
- Anterior ST Elevation: To Activate or Not? - March 5, 2018 -
- Alcohol Withdrawal + a very Long QTc - March 8, 2018 -
- Seizure + a somewhat long QTc Interval - March 9, 2018 -
- A Pattern To Recognize! ( = Acute PE! ) - March 12, 2018 -
- LBBB Criteria Redefined? Acute STEMI? - March 14, 2018 -
- Not Wellens, but V1,V2 Too High on Chest - March 16, 2018 -
- STEMI vs Pericarditis/Early Repol - May 14, 2011/March 18, 2018 -
- SVT & Retrograde Atrial Activity (AVNRT vs AVRT?) - March 20, 2018 -
- You had 2 Hours to Save this Patient (missed STEMI ) - March 24, 2018 -
- A Tale of 2 STEMIs- Step-by-Step (computer report) - March 27, 2018 -
- NOT an OMI despite HUGE Anterior S Waves! (Superb! ) - April 4, 2018 -
- Regular Wide Tachycardia due to HyperKalemia! - April 6, 2018 -
- ST Elevation + Hyperthyroidism + LVH + Repol - April 9, 2018 -
- U Wave Inversion — Clinical Significance ... - April 14, 2018 -
- RBBB with HyperKalemia — Anything Else? - April 16, 2018 -
- Pseudonormalization of ST-T wave and QRS changes - April 20, 2018 -
- Subtle Hyperkalemia on Serial ECG Findings ... - April 22, 2018 -
- Isolated ST Elevation in aVL (cardiac spasm) - April 23, 2018 -
- Cardiac Arrest / "Shark Fin" ST Elevation (Me on ETT ) - April 25, 2018 -
- Abnormal T (U) Waves in an Alcoholic - May 4, 2018 -
- Fascicular VT vs Bundle Branch Reentrant VT - May 8, 2018 -
- AV Dissociation in a Young Man (AV block? ) - May 11, 2018 -
- Isolated Posterior STEMI (Mirror Test - LCx) - May 19, 2018 -
- Cardiac Arrest and an Abnormal 12-Lead (RVH/LVH) - May 24, 2018 -
- Acute Posterior MI despite RBBB (posterior leads Not) - May 26, 2018 -
- LIST: A Long QT/QU + U Waves (Drugs/Lytes/CNS) - May 27, 2018 -
- Paced ECG + Primary ST-T Wave Changes! (Acute MI) - May 29, 2018 -
- Repost of this 2015 WCT Rhythm: Is the QRS Wide??? - May 30, 2018 -
- LBBB with LA-LL Lead Reversal + Suble ST Changes - June 4, 2018 -
- Bradycardia, Wide QRS, Pointed T, Hypotension (artifact) - June 6, 2018 -
- Is the QRS really so Wide? (shark fin) - June 11, 2018 -
- Inf. STEMI vs Constrictive Pericarditis (Schamroth sign) - June 17, 2018 -
- WPW or AIVR? Why AIVR? ( = Sinus Brady ...) - June 18, 2018 -
- What is Terminal QRS Distortion (Pericarditis @ Peril) - June 20, 2018 -
- LBBB, modified Sgarbossa, Qualitative ST-T Changes - June 22, 2018 -
- Does this ECG help Manage Insulin Overdose? (low K+) - June 24, 2018 -
- Early Repol vs OMI vs Pericarditis (AFib/Group Beating) - June 26, 2018 -
- Wellens' Syndrome + Change in Serial Tracings! - June 28, 2018 -
- Type 1 MI with a Normal Cath (isolated high lateral MI) - July 1, 2018 -
- Use of Terminal QRS Distortion to make the Diagnosis! - July 3, 2018 -
- Slower-than-Expected AFib + Syncope (about SSS!) - July 5, 2018 -
- When Should the OMI Dx have Been Made? - July 8, 2018 -
- Acute Inf. OMI + RV MI (Hyperacute ST-T / Mirror-Image) - July 11, 2018 -
- — Also — ischemia-induced J waves (My July 11 Comment)
- Acute High Lat. OMI (only seen in aVL) - July 13, 2018 -
- Recognizing LQTS (Long QT Syndrome) on ECG - July 17, 2018 -
- Sodium-Channel Blockade on ECG (Long QTc) - July 20, 2018 -
- ECG Findings of Hypokalemia — and — Anything Else? - July 22, 2018 -
- ECG Findings of Hyperkalemia (Eiffel Tower/Rhabdo) - July 24, 2018 -
- Is there ST Elevation? (Acute PE/Simultaneous Leads) - July 26, 2018 -
- Paramedic recognition of subtle OMI (V1,2 malposition) - July 28, 2018 -
- Limb Lead and Chest Lead Misplacement (Recognition!) - July 29, 2018 -
- CP in 30yo Woman (Subtle Abns in 11/12 leads/Compare) - July 31, 2018 -
- A Regular SVT — How to Diagnose AFlutter? - August 3, 2018 -
- A Regular WCT with an LBBB-like Pattern ... - August 5, 2018 -
- A 13yo with SOB (WPW - arrhythmias - localization) - August 7, 2018 -
- Lots of ST Elevation: Repol vs STEMI? (mirror-image) - August 9, 2018 -
- Acute LMain Occlusion! — and a subtle initial tracing ... - August 30, 2018 -
- 2 Occlusions (Good and less good ECG interpretation ... ) - Sept. 2, 2018 -
- Reverse Takotsubo and an Unusual ECG - Sept. 4, 2018 -
- Subtle Post-Lat OMI (LCx) + VT with AV Diss/Capture - Sept. 7, 2018 -
- 50yo Woman with CP & "Normal" Triage Tracings - Sept. 11, 2018 -
- Acute PE (ECG & Echo findings) - Sept. 12, 2018 -
- Idiopathic VT — Fascicular VT (See My Comment) - Sept. 14, 2018 -
- Subtle Serial ECG Changes in a 30yo with CP - Sept. 15, 2018 -
- Hyperacute T Waves (The Wrong Question was Asked) - Sept. 20, 2018 -
- AFlutter with subtle Anterior STEMI (Use calipers! ) - Sept. 24, 2018 -
- Cabrera Format - 50mm/second speed - Chest Pain ... - Sept. 26, 2018 -
- Dialysis Patient — "Pseudonormalization" ST-T Waves - Sept. 29, 2018 -
- Giant T Waves / Origin of an Atrial Rhythm - October 1, 2018 -
- Paced ECG with Acute Anterior STEMI (Sgarbossa) - October 3, 2018 -
- Subtle Acute High-Lat STEMI (aVL-mirror image) - October 6, 2018 -
- Acute STEMI diagnosed ONLY by PVC Morphology - October 8, 2018 -
- Another Invalid Study on Triage ECGs in the ED - October 9, 2018 -
- Subtle OMI in a Triage ECG (PR vs TP Baseline) - October 14, 2018 -
- Anterior MI + PVCs (Subtle rhythm-junctional escape) - Oct. 19, 2018 -
- 80yo man with sudden PEA (no clear "culprit" on ECG) - Oct. 22, 2018 -
- Normal Troponin & Acute Occlusion (ischemic J waves) - Oct. 24, 2018 -
- Inf. ST Elev but No MI! (ST straightened- a "normal" ST) - Oct. 27, 2018 -
- Diffuse ST Dep/ST Elev in aVR (Recognize this pattern! ) - Oct. 31, 2018 -
- Q waves in V1,V2 = Septal MI? (or V1/V2 Misplacement?) - Nov. 4, 2018 -
- Recognition of a Long QTc (Assessing the QTc- LIST ) - Nov. 7, 2018 -
- A Case-Based Study of Pacer Malfunction (bradycardia) - Nov. 9, 2018 -
- 2 ECGs Texted to Dr. Meyers (Acute STEMI or not?) - Nov. 12, 2018 -
- Serial ECG Changes over 10 tracings in Acute STEMI - Nov. 15, 2018 -
- Hyperacute T waves - new LAHB + Inf. Q waves = OMI - Nov. 18, 2018 -
- RBBB + Chest Pain: New vs Old? - Nov. 21, 2018 -
- Acute STEMI missed by the Computer - Nov. 21, 2018 -
- Are these Hyperacute T waves? (Computer says stemi) - Nov. 24, 2018 -
- Regular SVT at 200/min. + acute STEMI? (Semantics) - Nov. 26, 2018 -
- ST Elev. in V1,V2 — STEMI? Brugada-2? (or leads?) - Nov. 28, 2018 -
- Shock, LVH and/or Diffuse Subendocardial Ischemia - Nov. 30, 2018 -
- 2 ECGs without a History: Acute Changes or Not? - Dec. 5, 2018 -
- Not Bigeminy — But a Problem with K+ & Ca++ (DKA) - Dec. 11, 2018 -
- Can this be Wellens' Syndrome without an Infarct? - Dec. 14, 2018 -
- A Regular WCT: VT vs AFlutter + Flecainide Toxicity? - Dec. 16, 2018 -
- The Computer Called this Normal (Subtle STEMI ) - Dec. 19, 2018 -
- Subtle ST-T wave changes (Normal vs Flat ST segment) - Dec. 24, 2018 -
- ST Elevation in V1-3: Ant MI vs "Strain" (ECG Dx of LVH)- Dec 27, 2018 -
- ST Elevation in V3: Is it Normal? (More on ECG Dx LVH) - Dec. 29, 2018 -
- Benign T Wave? Hypertrophic CardioMyopathy? - Jan. 2, 2019 -
- "Who Done It? = HyperKalemia + HypoCalcemia - Jan. 3, 2019 - Jan 7 -
- Dynamic ST-T Wave Changes (Myocarditis, LVH) - Jan. 9, 2019 -
- Isolated RV MI + unusual pointed ischemic T waves - Jan. 11, 2019 -
- Bradycardia & AV Block from Hyper-K (Rhythm Pearls) - Jan. 13, 2019 -
- The Regular WCT: VT vs SVT with Aberrancy? - Jan 24, 2019 -
- Junctional vs Low Atrial Rhythm? (neg P or part QRS?) - Jan. 28, 2019 -
- Hyperthermia and ST Elevation in V1,V2 (Brugada-1) - Jan. 30, 2019 -
- Diffuse ST Dep/ST Elev in aVR not due to CAD (low K+) - Feb. 2, 2019 -
- Subtle OMI diagnosis by ECG Comparison (pos Trop) - Feb. 5, 2019 -
- Right-Sided HF and an SVT (Why is this AFlutter?) - Feb. 9, 2019 -
- RVH - IRBBB: Is Ant T Inversion New or Old? - Feb. 12, 2019 -
- How Long Will You Wait for OMI to become STEMI? - Feb. 16, 2019 -
- Coved ST Elevation in Chest Leads: Acute or Not? - Feb. 18, 2019 -
- Cardiac Arrest, ROSC and now RBBB? (very wide! ) - Feb. 28, 2019 -
- LVH, diffuse ST dep/ST elev in aVR (Sickle Cell ) - March 2, 2019 -
- Monitor Leads for ST Elevation? (Filter Settings! ) - March 4, 2019 -
- Recognizing abnormal ST elevation in V1,V2 - March 6, 2019 -
- Subtle Acute MI (Is complex A or B in aVL correct?) - March 8, 2019 -
- Resp. Failure + a "Normal" Computer ECG ("smiley" ) - March 11, 2019 -
- What is the Rhythm? (2 Regular WCTs vs 1 Rhythm?) - March 13, 2019 -
- The SHAPE in lead V2 — Acute OMI - March 15, 2019 -
- Acute OMI Dx'd by Speckle Echo (an unusual IVCD) - March 18, 2019 -
- Electrolytes — Pathognomonic ECG (hypoCa/hyperK) - March 19, 2019 -
- Junctional Escape (Laddergram)/SubEndo Ischemia - March 26, 2019 -
- Subtle High-Lat OMI + 3 False Pos (ST elev in aVL) - March 29, 2019 -
- 3 ECG shown to Dr. Meyers (To Activate Cath Lab? ) - March 31, 2019 -
- Acute LAD Occlusion in an Elderly Patient - April 3, 2019 -
- ECG Findings & Clinical Diagnosis of Acute PE - April 5, 2019 -
- A Pt with Abdominal Pain and LBBB (qualitatively + ) - April 7, 2019 -
- Acute OMI missed because it wasn't a "STEMI" - April 12, 2019 -
- Type 2 MI + Myocardial Bridging + Tachy/ST Elev - April 15, 2019 -
- Acute Pericarditis or a Repolarization Variant ECG? - April 19, 2019 -
- OMI despite no STEMI ( + V2 lead malposition) - April 20, 2019 -
- CP & ST Depression only in leads I and aVL ... - April 22, 2019 -
- A WCT Rhythm with Alternating Wide-Narrow Beats - April 23, 2019 -
- Dx of Acute STEMI despite being a Paced Tracing - April 25, 2019 -
- Terminal QRS Distortion (T-QRS-D) - LVH Voltage - April 27, 2019 -
- LBBB vs WPW (LBBB criteria- All about WPW) - April 30, 2019 -
- Tachyarrhythmias: Use of Monitor vs a 12-Lead ECG - May 1, 2019 -
- De Winter T Waves (Typical & Atypical Features) - May 2, 2019 -
- Brugada ECG Patterns vs Acute Anterior STEMI - May 6, 2019 -
- Don't Overlook this OMI (Be Systematic/Computer Use) - May 7, 2019 -
- Another Anterior OMI/Not Repol (the Visual Picture) - May 11, 2019 -
- Chest Pain in a Pt with a Paced Rhythm (2:1 ATach?) - May 13, 2019 -
- Peaked T Waves despite serum K+ = 2.4 mEq/L - May 15, 2019 -
- LVH and/or Acute OMI (Nit-Picking Serial Tracings/LVH) - May 19, 2019 -
- LBBB: Recognizing Acute OMI (Smith-Mod-Sgarbossa) - May 24, 2019 -
- Acute Ant. OMI (What will the Cardiologist do Next Time?) May 26, 2019 -
- A Complex ECG and No Clinical Info (Laddergram) - May 28, 2019 -
- Superimposed Changes on Prior Antero-Lat STEMI? - June 2, 2019 -
- Cardiologist & Computer said "Normal" (acute OMI) - June 4, 2019 -
- Is ST-T wave SHAPE normal? (Cath lab activation? ) - June 7, 2019 -
- How Not to Miss WPW (Reviews My Approach) - June 8, 2019 -
- Hyperacute T Waves (on way down) - Computer - June 9, 2019 -
- 20yo with Chest Pain: Early Repol or Something Else?- June 11, 2019 -
- A Patient with SOB (Systematic-LVH-QTc-hyper-K+) - June 15, 2019 -
- Dr. Smith's 3- and 4-Variable Formula (Ant STEMI? ) - June 17, 2019 -
- Repolarization Variants vs LVH-HCM-STEMI? (blacks) - June 20, 2019 -
- "Smiley"-shape ST Elevation (Using this Concept! ) - June 22, 2019 -
- Very Subtle Inferior Lead ST-T Wave Change - June 23, 2019 -
- Quick Recognition of Acute Proximal LAD Occlusion - June 26, 2019 -
- A System needed to pick up all Findings! (Inf OMI ) - June 28, 2019 -
- 2 Cases of RBBB (My Approach for ECG Dx of BBB) - July 1, 2019 -
- CP Onset 24-48 Hrs Ago (2 Post MIs- Correlate to Hx) - July 5, 2019 -
- Subtle-but-definite acute LAD OMI (artifact! ) - July 11, 2019 -
- ST Elevation only in V6/Recip in V1 (LCx-Post MI ) - July 15, 2019 -
- Doubling Size of Complexes Facilitates OMI Dx! - July 17, 2019 -
- Subtle LAD OMI: New vs Old? (Brugada-like) - July 19, 2019 -
- Acute MYOCARDITIS vs OMI vs Repol (Serial Tracings) - July 21, 2019 -
- The ECG was Correct; the Angiogram was Not! - August 13, 2019 -
- 5 Cardiologists say No STEMI — Is in an OMI? - August 15, 2019 -
- CP in a 50yo with a "Normal" ECG — Or an OMI? - August 18, 2019 -
- Evidence of Acute OMI on this Pacer Tracing? - August 20, 2019 -
- Are these Hyperacute T Waves? - August 26, 2019 -
- Short QTc Syndrome vs Hyperkalemic T Waves - Sept. 2, 2019 -
- Recognize this ECG? (HyperK- Brugada Phenocopy) - Sept. 8, 2019 -
- Non-Cardiac Ischemia on ECG (+ a few questions) - Sept. 12, 2019 -
- Troponin Trajectory: New Ant MI vs LV Aneurysm? - Sept. 17, 2019 -
- When the QRS is Wide — the J-Point will Hide! (VSD) - Sept. 20, 2019 -
- Why do beats "A" and "B" look so different? (artifact) - Sept. 22, 2019 -
- 7 mm of ST Elevation with LBBB = Acute? What Else? - Sept. 25, 2019 -
- Acute MI diagnosis by Chest CT (+ suble ECG/Artifact) - Sept. 27, 2019 -
- Subtle Inf. OMI / MAT at normal Rate - Sept. 30, 2019 -
- ST Depression in a 30yo (Atrial Repol Wave/Tachycardia) - Oct. 2, 2019 -
- Shark Fin Morphology (Don't Forget to look for P waves! ) - Oct. 4, 2019 -
- Interplay between Post MI and acute RV MI! - Oct. 9, 2019 -
- Do You Understand these T Wave Inversions? - Oct. 10, 2019 -
- Regular SVT (AVRT — 30yo with WPW — Mgmt) - Oct. 16, 2019 -
- Acute Inf-Lat OMI (QS inf leads-Tall R V1-Silent MI ) - Oct. 20, 2019 -
- Causes of ST Depression ("scooped" ST/Dig/LIST ) - Oct. 21, 2019 -
- SCAD (Spontaneous Coronary Artery Dissection) - 30f - Oct. 24, 2019 -
- Look at All ECGs done Serially! (Subtle clues! ) - Nov. 1, 2019 -
- Diffuse Subendocardial Ischemia (not always cardiac! ) - Nov. 3, 2019 -
- Vagotonic AFib in 30yo (The RATE of AFib - D.D.) - Nov 5, 2019 -
- Subtle Changes = an ECG non-diagnostic of OMI (Lytics?) - Nov. 8, 2019 -
- What is this SVT @ 150/min? (AFlutter — MY POST ) - Nov. 12, 2019 -
- Repolarization Variants vs Acute OMI (T-QRS-D) - Nov. 14, 2019 -
- Seizures — Review of HypoKalemia - Nov. 18, 2019 -
- CP in a 30yo — Acute OMI? (Serial ECGs) - Nov. 20, 2019 -
- Cardiac Arrest — Shark Fin/ Osborn Waves/ Low Atrial - Nov. 22, 2019 -
- Is there Global ST Depression? — or Atrial Flutter? - Nov. 26, 2019 -
- Acute Pancreatitis/LVH and Repol vs Acute OMI? - Nov. 27, 2019 -
- Distinguishing New vs Old MI (vs superimposed MI) - Nov. 29, 2019 -
- A 30yo woman with Fever-Induced Brugada-1? - Dec. 5, 2019 -
- CO Poisoning — Prox LAD Occlusion (T-QRS-D ) - Dec. 9, 2019 -
- Acute Myocarditis vs Repol vs OMI (Serial ECGs) - Dec. 10, 2019 -
- Acute PERICARDITIS (detailed discussion! ) - Dec. 13, 2019 -
- Acute OMI despite LBBB (Smith-Sgarbossa- subtle! ) - Dec. 16, 2019 -
- More on HypoKalemia - Dec. 18, 2019 -
- A Regular WCT (Wide-Complex Tachycardia) - Dec. 23, 2019 -
- Don't Overlook AFlutter! (Regular SVT at ~150/minute) - Dec. 24, 2019 -
- Mobitz II in an Asymptomatic 80yo (AV Blocks) - January 1, 2020 -
- Hypothermia with Osborn Waves! - Jan. 2, 2020 -
- MAT - the Computer - Aberrant Conduction (Ashman) - Jan. 5, 2020 -
- Crochetage Sign — Is there an ASD? - Jan. 8, 2020 -
- Acute Pericarditis (Myocarditis)? Acute OMI? Repol? - Jan. 10, 2020 -
- Acute MI + Post-Infarction Pericarditis (Review) - Jan. 14, 2020 -
- Acute LMain Occlusion (ECG Recognition) - Jan. 16, 2020 -
- Acute Inf OMI (Complex Rhythms-Ladder-Mobitz I ) - Jan 19, 2020 -
- RBBB + 1° ST-T changes/AFib + AV Block (SSS? ) - Jan 22, 2020 -
- "Shark Fin" / Myocardial "Stunning" ==> Low Voltage - Jan. 24, 2020 -
- Hyperkalemia (Ventricular Escape - ECG Changes) - Jan. 26, 2020 -
- 20-ish yo with Chest Pain (distal LAD OMI - subtle) - Jan. 29, 2020 -
- Hx of Stents with Chest Pain (RBBB-Fragmentation) - Jan. 31, 2020 -
- 7 Tracings: Which 3 have Acute Inferior OMI? - Feb. 2, 2020 -
- Cardiology would Not Cath this Patient! (Ant. OMI ) - Feb 4, 2020 -
- ST Elevation in V1,V2 — due to LVH (not ACS) - Feb. 6, 2020 -
- ST Elevation in aVR (Coronary Occlusion?/SVT? ) - March 9, 2020 -
- Ischemia vs Lead Misplacement (How to Recognize) - Feb. 11, 2020 -
- A 50s Man with "Gas Pain" (Early LAD Occlusion) - Feb. 14, 2020 -
- HypoThermia — Shark Fin (Causes of Myocarditis) - Feb. 16, 2020 -
- 32yo with CP — Hyperacute T waves MISSED - Feb. 18, 2020 -
- What are these Wide Complexes (AV Diss- AIVR) - Feb. 20, 2020 -
- A Man in his 60s with CP (Subtle OMI) - March 2, 2020 -
- Anterior T Inversion (Not Wellens- PE vs Ischemia) - Feb. 28, 2020 -
- Sinus Tach with a VERY Long PR Interval - March 4, 2020 -
- ATach vs AVNRT of the Fast-Slow Type - March 6, 2020 -
- ST Elevation in aVR/Diffuse ST Dep (normal cath) - March 9, 2020 -
- A Scenario to Recognize (Irregular WCT-AFib/WPW) - March 12, 2020 -
- 32yo with CP (LA-RA Lead Reversal + acute OMI) - March 18, 2020 -
- 50ish yo with ETOH Ketoacidosis (Takotsubo CMP) - March 25, 2020 -
- 30yo with CP (Tom Fiero case- acute OMI missed) - March 29, 2020 -
- PVCs and AV Block? (NOT! - Interpolated- My Case) - April 9, 2020 -
- Man in 60s (RBBB Basics-Hemiblocks-Acute OMI) - April 13, 2020 -
- Differential Diagnosis of a Regular WCT (VT/LPHB) - April 15, 2020 -
- Acute OMI not seen on ECG (subtle V1 ST elev) - April 20, 2020 -
- Why 3 QRS Morphologies? (Rate-Related BBB) - April 22, 2020 -
- Is it VT or SVT with Aberrancy? (MY Case! ) - May 5, 2020 -
- Ant. ST Dep: Post MI or Subendocardial Ischemia? - April 24, 2020 -
- "Shark Fin" with Twist (pseudo-MI- Hyper-K+ ) - April 25, 2020 -
- Cardiac Arrest- Torsades vs PMVT (bizarre PVCs) - April 29, 2020 -
- A 20yo with Vomiting (low K+ - Causes of Long QT) - May 3, 2020 -
- ECG from a Study (Normal variant - Gestalt! ) - May 7, 2020 -
- The Many Faces of HypoKalemia! (Table-K+ ) - May 9, 2020 -
- 50yo/SOB/Covid-19 (Indeterminate Axis-MyoCard) - May 11, 2020 -
- Diffuse Subendocardial Ischemia (Normal Echo! ) - May 13, 2020 -
- Cardiac Arrest/ECMO — Shark Fin (rhythm-Type II MI) - May 19, 2020 -
- AV Block & Something Else? (Ladder! - MY Case) - May 16, 2020 -
- Subtle AFlutter (looks like sinus tach-MY Case) - May 22, 2020 -
- 70s Man/Syncope- Long 1st Degree (AV Diss vs 3rd) - May 24, 2020 -
- Early Repol vs Acute OMI (GOOD- R/O acute OMI ) - May 26, 2020 -
- A Different Kind of WCT (Pleomorphic VT ) - June 1, 2020 -
- SVT at 160 — then 240/minute (AVNRT-Adenosine) - May 31, 2020 -
- What is the Culprit Artery? (prox LAD vs RCA/RV MI ) - June 6, 2020 -
- Emery Phenomenon = (Pseudo-MI from neg P in lead II ) - June 3, 2020 -
- LVH causing ST Elevation in V1,V2 (not a STEMI!- LVH) - June 20, 2020 -
- A Fast Regular WCT/BBB-Reentry VT (at ~268/minute! ) - June 9, 2020 -
- A 50-something man (SUBTLE MI !!! ) - June 12, 2020 -
- Drug O/D with Fascinating Arrhythmia (Ladder! ) - June 13, 2020 -
- Man in 60s — ROSC, Hyperacute T Waves (lad omi) - June 15, 2020 -
- GIANT T Waves (Table) - HypoKalemia - June 22, 2020 -
- Intermittent Wide QRS - No Hx (RBBB-MY Case) - June 25, 2020 -
- Severe HyperNatremia (also hyper/hypo-Ca++ ) - July 1, 2020 -
- A 60-something man (AFib/Ashman phenomenon) - June 17, 2020 -
- Resuscitation ECGs are Often Bizarre (Spiked Helmet) - June 28, 2020 -
- Trauma & blood Transfusions (hypo-Ca++/hyper-K+ ) - July 3, 2020 -
- An Elderly Man with Hiatal Hernia (ischemic ST-T/new AFib) - July 7, 2020 -
- Subacute MI (MI of ? Age/Dating MI - ongoing CP-for Cath) - July 9, 2020 -
- 20yo with Syncope (Pericarditis - Pericardial Tamponade) - July 12, 2020 -
- CP — RBBB — Subendocardial Ischemia (No Cath Lab!) - July 15, 2020 -
- Subtle Inferior/RV MI (Acute RV MI- Right-sided leads) - July 19, 2020 -
- Interesting Troponins (Dynamic ST-T Wave Changes) - July 21, 2020 -
- New Dyspnea (RA-LL Lead Reversal- USE! ) - July 28, 2020 -
- 50yo man — de Winter-like OMI (late-cycle PVCs) - July 26, 2020 -
- The OMI Manifesto (Summary) - July 31, 2020 -
- Subtle OMI from France (Computer) - August 1, 2020 -
- 40yo man — another OMI (STEMI-neg- Greece) - August 4, 2020 -
- Middle-aged woman (OMI not Pericard- Q wave size) - August 8, 2020 -
- VERDICT Trial (Use of CT Angiography for NSTE-ACS) - August 8, 2020 -
- 4 Tachyarrhythmias in a Man with CP - August 13, 2020 -
- 35yo (MY Case - Ladder! - Mobitz I-Phase 4- RHYTHM) - August 17, 2020 -
- Pseudo-Wellens' Syndrome (Why it is not Wellens! ) - August 19, 2020 -
- Dynamic ST-T Change (Repolarization Variant) - August 21, 2020 -
- Acute OMI + RBBB/LAHB (Cardiology oversight! ) - August 24, 2020 -
- Low Voltage, Cardiogenic Shock & Subtle OMI - August 28, 2020 -
- 31yo with HTN + ST Elev/T Inversion (but not OMI) - August 30, 2020 -
- 21yof with SOB,exertional syncope (ECG Dx of RVH!) - Sept. 1, 2020 -
- The OMI Manifesto (17 minutes — Dr. Meyers) - Sept. 3, 2020 -
- HyperKalemia (serial ECGs - Brugada Phenocopy) - Sept. 5, 2020 -
- SVT at 257/minute (Idiopathic VT- Fascicular/RVOT VT) - Sept. 7, 2020 -
- AV Wenckebach (Dual AV Pathways- Laddergram) - Sept. 9, 2020 -
- An 18yo with CP (ST/T Ratio - Pericarditis vs Repol) - Sept. 11, 2020 -
- Acute Inf-Post-Lat OMI (Mirror- Fig of OMI Findings) - Sept. 13, 2020 -
- 58yo with False Positive OMI (Repolarization Variant) - Sept. 15, 2020 -
- 60yo with LBBB + Acute OMI (MY Case) - Sept. 17, 2020 -
- Cardiac Arrest with Neg initial Troponin - Sept. 19, 2020 -
- Cardiologists limited by STEMI Criteria (Mirror- Post MI) - Sept 21, 2020 -
- Prominent J (Osborn) Waves as Sign of Acute OMI - Sept. 23, 2020 -
- Cardiac Arrest/Massive PE (Not Complete AV Block) - Sept. 24, 2020 -
- 40-yo with Irreg. Rhythm (MY Case- Runs of PACs-Ladder) - Sept. 26, 2020 -
- Another Post MI missed by Cards (Mirror- Hyper-K+) - Sept. 28, 2020 -
- Missed OMI (Subtle Posterior MI- LCx OMI ) - October 2, 2020 -
- Partially Paced ECG with Inf-Post-Lat OMI - October 5, 2020 -
- Is this Wellens' Syndrome (LVH - AV Diss- Ladder) - October 9, 2020 -
- The Posterior Paradox (Post MI- Mirror- Silent MI) - October 11, 2020 -
- Serial ECGs = a STEMI that Resolves (11/12 leads) - October 14, 2020 -
- Covid with a Regular WCT ( Not VT but ARTIFACT) - October 17, 2020 -
- Brooks: PACER ECG that is Acute OMI (My Comment) - October 19, 2020 -
- HyperKalemia — Advanced Points (My Comment !!! ) - October 21, 2020 -
- 40-yo with CP (Repol vs LVH vs Subtle Ant. OMI !!!) - October 23, 2020 -
- Shark Tooth "Silent Ischemia" + VT (Cabrera Format) - October 26, 2020 -
- Septal OMI? (Saddleback- Many ECG Findings) - October 28, 2020 -
- 60-yo with Weakness (My Comment- HyperCalcemia) - October 30, 2020 -
- An ECG without History is Mystery (Wellens! ) - November 6, 2020 -
- This Skill can be Taught: Qualitative Approach to ECGs (OMI) - Nov. 8, 2020 -
- A 30-something Man - CP - Artifact-D.Richley-Christopher- Nov. 10, 2020 -
- Extreme SHOCK + COVID (Low Voltage - RA artifact) - Nov. 12, 2020 -
- ATach with Block - Dig Toxicity (My Comment- Ladder) - Nov. XXX, 2020 - - - Tell Ed Brunacci
- Amyloid with Slow AFlutter vs ATach & 2:1 Block - Nov. 15, 2020 -
- Anterior ST Elevation (LVH) + LA-LL Lead Reversal - Nov. 19, 2020 -
- VFib + subtle OMI-TABLE! (Inter- Intra Observ Variability) - Nov. 17, 2020 -
- Resident saw OMI- Faculty Didn't! (Lead aVL- Coronary Circ.) - Nov. XXX, 2020 - - -
- 49yom- Serial ECGs - Wellens Syndrome - Nov. XXX, 2020 - - -
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