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What is this ECG finding? Do you understand it before you hear the clinical context?

Dr. Smith's ECG Blog

Osborn waves have been reported with hypercalcemia, brain injury, subarachnoid hemorrhage, Brugada syndrome, cardiac arrest from VFib — and — severe, acute ischemia resulting in acute MI ( See My Comment in the November 22, 2019 post on Dr. Smith’s Blog ). Rituparna et al — as well as Chauhan and Brahma ( Int. Smith’s ECG Blog ).

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A teenager involved in a motor vehicle collision with abnormal ECG

Dr. Smith's ECG Blog

Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated. 2015, March 1). Other Arrhythmias ( PACs, PVCs, AFib, Bradycardia and AV conduction disorders — potentially lethal VT/VFib ). Dyer From the Division of Cardiology, Thankavel, P. Myocardial contusion in an 8-year-old boy. Cramer, M. 2003, May).