OMI Confirmed by POCUS Echo in a 50 year man
This ECG is from a man in his 50s who presented with intermittent epigastric burning pain for 4 days that had become constant that morning.
This ECG shows ST elevation in aVL, I and V2-4 with reciprocal ST depression inferiorly. POCUS showed severe hypokinesis of the anterior wall. The cause was a large anterior MI.
Two patients with RBBB
This ECG is from a woman in her 60s who presented with dyspnoea, on a background of chronic respiratory disease.
This ECG shows RBBB with ST elevation in I and aVL. All previous ECGs were identical, so this was most likely her baseline ST elevation. Troponins and echo were normal.
Epigastric pain radiating to the chest for 18 hours. ECG makes the Dx. Troponin makes the Dx. CT makes the Dx!
This ECG is from a middle aged man who presented with 18 hours of epigastric pain radiating to the chest.
This ECG shows ST elevation in aVL with reciprocal ST depression in inferior leads and V3-4, consistent with high lateral MI and posterior involvement.
ECG Blog #146 – (BBB – Primary ST-T Changes)
This ECG is from a patient of unknown age who presented with acute chest pain.
This ECG shows LBBB with concordant ST changes in III, aVF and aVL most likely due to acute MI. The patient was not sent to the cath lab. They arrested and could not be resuscitated.