Remove Dysrhythmia Remove Pericarditis Remove STEMI
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A man in his 30s with cardiac arrest and STE on the post-ROSC ECG

Dr. Smith's ECG Blog

Dyspnea, Chest pain, Tachypneic, Ill appearing: Bedside Cardiac Echo gives the Diagnosis 31 Year Old Male with RUQ Pain and a History of Pericarditis. Then there is loss of pulses with continued narrow complex on the monitor ("PEA arrest") Learning Points: Sudden witnessed Cardiac Arrest due to ACS is almost always due to dysrhythmia.

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Syncope, chest pain, and inferior ST Elevation with Reciprocal ST depression in aVL

Dr. Smith's ECG Blog

Smith : I recognize this as a STEMI mimic. He was admitted for monitoring and had no dysrhythmias. Here is his ECG: There is significant ST Elevation in inferior leads, with reciprocal ST depression in aVL. This appears to be an inferior OMI What do you think? I was not alarmed. Amazingly, the Queen also recognizes it as "Not OMI".