@TrackYourHeart Just APTA from left leg electrode I think. The ekg has nothing to do with the new symptoms but will distract from any real etiology.
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Pendell Meyers
2.6K posts
Pendell Meyers
@PendellM
Emergency Medicine Physician, Co-Editor of Dr. Smith's ECG Blog
Charlotte, NC, USA Katılım Şubat 2015
593 Takip Edilen6.3K Takipçiler
A 58-year-old man with a chronic cervical spinal cord injury develops sudden severe hypertension and abdominal pain.
His ECG is shown below.
What is the most likely diagnosis
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@TrackYourHeart pulse tapping artefact. lead I looks normal but II and III are totally bizzare with a unphysiologic QT interval.
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Let’s look back at this post from 16 years ago. How far have we come with these T waves?
drsmithsecgblog.com/lets-look-back…
@PendellM @PMcardioApp
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A man in his 50s with acute chest pain. See what happens when it is “Not a STEMI”
drsmithsecgblog.com/a-man-in-his-5…
@PendellM
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AI Person of the Year 🎉
Adam Rafajdus, our Head of AI at Powerful Medical, was awarded the AI Person of the Year from the Slovak AI Association. This recognition is a testament to Adam and our entire AI team's work in building groundbreaking AI 👏
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A 57-year-old patient presents to the emergency department with chest pain that woke them from sleep; while an ECG is being recorded and troponin results are pending, they go into VF. After 10 minutes of CPR, spontaneous circulation returns. What does the ECG show?
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NSTEMI (Non-STEMI, or Non ST Elevation MI) is a totally worthless diagnosis.
drsmithsecgblog.com/this-was-inter…
@PMcardioApp
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Presented on OMI yesterday for one of our ERs and today one of the nurses who attended picked up on a HATW OMI!!
Proud Papa!!!
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@BakhshiHooman @smithECGBlog @The_Nanashi_O @DidlakeDW @ecgandrhythmRoe @TheECGMedic @DrRazi4 @ShariqShamimMD @IM_Crit_ @Vadeboncoeur_Al @PendellM Is this a STEMI?
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@RobertHermanMD @smithECGBlog @The_Nanashi_O @DidlakeDW @ecgandrhythmRoe @TheECGMedic @DrRazi4 @IM_Crit_ @Vadeboncoeur_Al @PendellM If Interventional Cardiologist assigned to take care of this patient does not Cath the patient emergently, they should quit interventions.
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Does this "NSTEMI" with an out-of-hospital cardiac arrest need immediate cath lab activation, or should we follow the guidelines?
Let me know what you think of this #ECG of a 50yo male patient with chest pressure and left arm numbness post ROSC!
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66F post-VF cardiac arrest with ROSC. 🫀🚨
Immediate post-resuscitation 12-lead ECG showing a critical, high-mortality pattern.
Recognise this deadly pattern and share your thoughts. 👇@smithECGBlog #MedTwitter #cardiotwitter #Medx #Cardiology
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See what Stanford Emergency Medicine professor @VivetaLobo has to say about the @PMcardioApp queen of hearts AI ECG Model
linkedin.com/posts/vivetalo…
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Pre and post LAD and Left Main PCI. Visually assessed EF of 20-30% with apical akinesia.
GIF
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Index, Post PCI Day 1 and Day 4 ECGs show resolution of the occlusive de Winter changes and transition into a classic reperfusion pattern extending throughout the anterior and high lateral leads.
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@smithECGBlog @PendellM @ecgandrhythmRoe @ecgrhythms @TheECGMedic @DrparrayMD @DrRazi4 @EM_RESUS @AndrewACNP1 @tbouthillet Answer here: x.com/RobertHermanMD…
Robert Herman, MD, PhD@RobertHermanMD
Answer: Severe LAD acute culprit lesion with left main disease. The #ECG shows de Winter T-wave morphology + SEI, consistent with a coronary occlusion with early spontaneous reperfusion. Immediate activation by a nurse-paramedic in the field using @PMcardioApp.
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60-something male with 2 hours of chest pain
drsmithsecgblog.com/60-something-m…
@PMcardioApp
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I posted the same case on Reddit (results attached). The responses show how much care for a deadly condition can vary. The same ECG can lead to life-saving treatment hours apart, often within the same region.
Full answer, with annotated angiograms in 48 hours.
Robert Herman, MD, PhD@RobertHermanMD
🔴LIVE #ECG case: prehospital cathlab activation from a hospital system practicing AI-assisted OMI/NOMI paradigm instead of STEMI/NSTEMI. What's the most likely culprit?
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