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Another MUST know ECG, and why its notoriety annoys Dr. Smith

Dr. Smith's ECG Blog

This typically occurs in the setting of a rapidly reperfused coronary artery following a myocardial infarction. The pattern is mostly described with LAD OMI, but has been reported in other coronary distributions as well. Image reproduced from Kloner, R.A. Time is myocardium and prompt revascularization improves patient outcomes.

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Emergency Evidence Updates – May 2025

The Bottom Line

The Journal of Emergency Medicine Neurologic etiologies of cardiac arrest are associated with early withdrawal of life-sustaining therapy Resuscitation Point of Care Echocardiography and Regional Wall-Motion Abnormalities in Acute Coronary Syndromes The Journal of Emergency Medicine Proximal venous ultrasound with risk stratification safely excludes (..)

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repost this one as QRS distortion

Dr. Smith's ECG Blog

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Critical Care Evidence Updates – May 2025

The Bottom Line

A pilot randomized controlled study Journal of Critical Care Effect of Ketamine Analgosedation on Neurological Outcome in patients with Severe Traumatic Brain Injury: A Randomized Controlled Pilot Study Neurocritical Care Effects of a general practitioner-led brief narrative exposure intervention on symptoms of post-traumatic stress disorder after (..)

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A 70 something female with chest pain (KG- done)

Dr. Smith's ECG Blog

The T wave changes that have occurred are widespread, and not in a typical coronary distribution. Each time the patient underwent cardiac catheterization — and each time, she had patent coronary arteries! Discussion : ECG #2 shows sinus rhythm with quite dramatic change in T wave morphology when compared to ECG #1.

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A 60-something has chest tightness, palpitations, and ST depression V1-V3

Dr. Smith's ECG Blog

So we decided this was not acute coronary syndrome. We are also told that this patient was admitted to the hospital — but we are not given additional information. - - - - - - - - - - - - - NOTE ( 6/17/2020 ): At the time I wrote my comments below — I was not aware of this patient's prior medical history. He ruled out for MI.

ACS 52
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A patient with chest pain. (post on Normal ECG)

Dr. Smith's ECG Blog

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