Heartfelt Reflections: Stories of Love, Loss, and Growth

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8 Min Read

Jesse McLaren

onAugust 17, 2026

4 patients with ST elevation, infection, and elevated troponin: which is Occlusion MI and which is myocarditis?

By Matthew McArthur and Jesse McLaren 4 patients presented with ST elevation, active infection with or without fever, and elevated troponin.…

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7 Min Read

Jesse McLaren

onAugust 13, 2026

80 year-old female with epigastric burning and previously diagnosed LBBB

By Jesse McLaren An 80 year-old female with a history of diabetes and CABG called paramedics for 2 hours of epigastric burning that did not…

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5 Min Read

Steve Smith

onAugust 10, 2026

This was sent to me. What is the diagnosis?

What do you think? It looks very bizarre. Differential: 1) Severe ischemia 2) arterial pulse tapping artifact (APTA) (but it is not APTA…

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7 Min Read

Steve Smith

onAugust 6, 2026

Can a patient be lucky if he goes into ventricular fibrillation? Yes. But accurate ECG interpretation (and the Queen of Hearts) can prevent it.

Also, listen to young doctors. They often know much more than the experienced ones. This was sent by Ahmed Adel. Hello, Dr. Smith. I hope…

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9 Min Read

Steve Smith

onAugust 2, 2026

If you can’t listen to a good student, your patient might be in trouble (and use the Queen of Hearts)

This case was sent to me by Ahmed Marai, who is a medical student. Ahmed received it from Omer Mohammed, a fifth-year medical student from…

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9 Min Read

Steve Smith

onJuly 27, 2026

Syncope with ST Elevation and T-wave inversion

This was sent by a fine former resident, BG Tenbrink. A 20-something male had syncope while playing basketball. There was no chest discomfort,…

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6 Min Read

Steve Smith

onJuly 24, 2026

Chest discomfort. It looks very small but could have been a disaster.

A 50 something with no previous cardiac history, but with history of seizures, presented to triage with a few hours of chest tightness and…

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9 Min Read

Jesse McLaren

onJuly 21, 2026

Recurrent Seizures in a 40-something woman

Written by Matthew McArthur I saw a 40 year old female who had a ~3 minute, witnessed loss of consciousness at home a little after midnight.…

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6 Min Read

Pendell Meyers

onJuly 17, 2026

Let’s look back at this post from 16 years ago. How far have we come with these T waves?

Steve published this fantastic post 16 years ago which compares 2 important types of abnormally large T-waves. HyperKalemia with Cardiac…

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9 Min Read

Pendell Meyers

onJuly 13, 2026

A man in his 50s with acute chest pain. See what happens when it is “Not a STEMI”

Written by Pendell Meyers, comments of course by Smith. Sent by anonymous A man in his 50s was walking his dog early in the morning when he…

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Dr. Smith's ECG Blog

Heartfelt Reflections: Stories of Love, Loss, and Growth

4 patients with ST elevation, infection, and elevated troponin: which is Occlusion MI and which is myocarditis?

80 year-old female with epigastric burning and previously diagnosed LBBB

This was sent to me. What is the diagnosis?

Can a patient be lucky if he goes into ventricular fibrillation? Yes. But accurate ECG interpretation (and the Queen of Hearts) can prevent it.

If you can’t listen to a good student, your patient might be in trouble (and use the Queen of Hearts)

Syncope with ST Elevation and T-wave inversion

Chest discomfort. It looks very small but could have been a disaster.

Recurrent Seizures in a 40-something woman

Let’s look back at this post from 16 years ago. How far have we come with these T waves?

A man in his 50s with acute chest pain. See what happens when it is “Not a STEMI”