Hyperacute T waves

Everything occlusion myocardial infarction isn't always STEMI

After a recent discussion of STEMI equivalents during MCHD continuing education, Casey Patrick, MD, FAEMS, cared for a textbook hyperacute T wave patient in his emergency department practice.

In this episode of the MCHD Paramedic Podcast, we review some hyperacute T wave tips, in addition to addressing how to deal with resistant consultants.

Dr. Casey Patrick is medical director for Harris County ESD11 Mobile Healthcare and assistant medical director for the Montgomery County Hospital District EMS service in Greater Houston. 

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Quiz: Interpreting cardiac waveforms

Test your knowledge on interpreting ECG waves, intervals and segments


1. Case details. tinyurl.com/3aser4j5

2. Tzimas, Georgios et al. “Atypical Electrocardiographic Presentations in Need of Primary Percutaneous Coronary Intervention.” The American journal of cardiology 124.8 (2019): 1305–1314

3. Aslanger EK, ET AL. DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction (DIFOCCULT Study). Int J Cardiol Heart Vasc. (2020) Jul 30;30:100603

4. Pendell Meyers H, ET AL. Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute coronary occlusion myocardial infarction. Int J Cardiol Heart Vasc. (2021) Apr 12;33:100767

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