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Robert Herman, MD, PhD Stephen W. Smith Willy Frick Pendell Meyers EMS 12-Lead Stephen Rahm Dr Razi Dr. Andreas Roeschl, MD ECG.Hacks David Didlake It is no surprise that posterior leads are read as "negative". In fact, posterior T waves are hyperacute, but who cares about that?

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Did you spot this absolutely diagnostic pattern in the inferior leads?

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An excellent milestone for advancing our understanding of acute coronary syndromes, transitioning from an ECG-based perspective (STEMI/NSTEMI) to one that is driven by angiographic findings of culprit coronary stenosis!

Should you record posterior leads? Should you give thrombolytics for chest pain with this ECG (if PCI is not available)? hqmeded-ecg.blogspot.com/2025/06/should…

Stephen W. Smith pubmed.ncbi.nlm.nih.gov/34775811/ Unfortunately not everyone are aware of this article by you and Pendell Meyers

Mohamad Alkhouli JACC Journals Jesse McLaren Stephen W. Smith Pendell Meyers Full link: jacc.org/doi/10.1016/j.…

Hypotension, chest pain, and precordial ST depression maximal in V3 hqmeded-ecg.blogspot.com/2025/06/hypote…

Occlusion myocardial infarction: a revolution in acute coronary syndrome Read our editorial at the link below! tinyurl.com/f33y6z3d Jesse McLaren Pendell Meyers Stephen W. Smith

Is There a Tariff End Game? open.substack.com/pub/paulkrugma…

🫀 More than half of #OcclusionMI were not admitted as #STEMI, with further reperfusion delays for elderly and atypical symptoms. Read more ⬇️ cjcopen.ca/article/S2589-… Stephen W. Smith #CJCO #OpenAccess

CME INDIA Bizarre ST-T involving every lead except one of the limb leads, lead II. This is arterial pulse tapping artifact from the left arm electrode. Move the electrode and repeat the tracing and it will resolve. Does not look like ischemia to suggest vasospasm.

CME INDIA jacc.org/doi/10.1016/j.… Alexander Bracey Pendell Meyers Stephen W. Smith

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The worst thing you can be when you have this ECG is to be a young woman hqmeded-ecg.blogspot.com/2025/06/the-wo…

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