LM Occlusion, Dave The Medic.

ECG Blog 006 – Acute Occlusion vs LV Aneurysm

Posted on January 30, 2022January 30, 2022 by DavetheMedic

– A 73 yo M calls 911 for chest pain. Described as a burning sensation 1 hour prior, 10/10 non radiating. PMH- HTN and previous MI more than 10 years

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Apr

66 yo M calls 911 for acute onset chest pain while at rest. Pain is described as sharp, 9/10 and non-radiating. There is also associated nausea and slight hypotension. Medics

Jan

– A 73 yo M calls 911 for chest pain. Described as a burning sensation 1 hour prior, 10/10 non radiating. PMH- HTN and previous MI more than 10 years

Jan

A 75 yo M presents to the ED for chest discomfort. Fig 1 Our pt is hemodynamically stable therefore we have at least a few moments to inspect the tracing

Oct

We responded to agonal breathing for a 74 yo male. We found him in bed with actual agonal breathing – about 4 ineffective breaths per minute and NO palpable

Sep

68 yo female – AMS The patients family visiting from Louisiana during Hurricane Ida calls 911 due to the patient collapsing after quickly running downstairs when her sister was attempting

Sep

50 something yo F calls 911 for new onset palpitations She has a history of DM II, HTN and depression and is compliant with all medications. She called 911 when

Sep

My thanks to Sophie Markwick from England for her permission to use these 12 leads for educational purposes. This patient called emergency services for chest pain and vomiting.

I am David White, a Paramedic in Georgia. I have been married to my beautiful wife Sharee for 21 years and we have 3 children and 2 granddaughters..so far.
I developed a strong fascination of ECGs many years ago.
After sitting through the same old classes of just “STEMI” criteria and contiguous leads, I got the idea in my head that there had to be a way to “see” ischemia before an obvious occlusion were present. This was before the internet was in such widespread use and most education I could find was in expensive books. I came across Dr. Thomas Garcia and his book – 12 Lead ECG, The Art of Interpretation. This changed everything for me.
Soon after, I found Dr. Ken Grauer, Dr. Steven Smith and Dr. Amal Mattu. These true experts in interpretation is what changed my entire medical education and helped me to focus on the details and pattern recognition rather than blindly stumbling through a 12 lead.
My goal in this blog is to present complex ECGs and break them down into more bite sized chunks to more easily understand what is happening.

Welcome to the Bumps and Squiggles where we'll break down complex ECG's

Tag: LM Occlusion