Heartfelt Reflections: Stories of Love, Loss, and Growth

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10 Min Read

Willy Frick

onFebruary 25, 2026

Dofetilde (and ibutilide -Class III antidysrhythmics). What is the risk? How does it show on the ECG? What to do about the complication?

By Willy Frick CASE PRESENTATION A middle aged woman with HFrEF (EF 25-30%) and persistent atrial fibrillation was admitted to the hospital…

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5 Min Read

Steve Smith

onFebruary 22, 2026

Fast, narrow, regular. What is it? More difficult: what to do??

A middle-aged man with h/o asthma presented with SOB, especially with exertion. He also has positional chest pain. This started a few weeks…

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7 Min Read

Steve Smith

onFebruary 20, 2026

How do you interpret this ECG without the clinical context (which I don’t know)?

I came across this interesting ECG without clinical context: What do you think? Rhythm: This appears to me to be accelerated idioventricular…

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13 Min Read

Magnus Nossen

onFebruary 18, 2026

Fascinating Wide Complex Tachycardia and instructive ECGs during chest pain

Written by Magnus Nossen Today’s patient is an 80-something male with a history of CABG. Since his bypass surgery years ago, he had not…

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5 Min Read

Steve Smith

onFebruary 15, 2026

Is this a wide complex rhythm? (And what is the etoliogy, after you hear the history)

What do you think? = = = = = = = = = = = = = = = This is NOT a wide complex tachycardia. This is atrial fibrillation with “Shark…

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6 Min Read

Steve Smith

onFebruary 12, 2026

“Non-diagnostic” (even in retrospect) according to an entire conference full of ED docs and cardiologists.

Subtitle: It’s not the ECG which is “Non-diagnostic” — it is the physicians who are “Non-diagnostic!” This…

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7 Min Read

Steve Smith

onFebruary 10, 2026

A 50-something with chest pain. Look what happens if you don’t use the Queen of Hearts.

I came across this ECG while reading through all the ECGs on the system. The computer interpretation, confirmed by a cardiologist, is: = = =…

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9 Min Read

Pendell Meyers

onFebruary 8, 2026

Will this patient get care of the past or care of the future? (NSTEMI is a worthless diagnosis)

Sent by anonymous A woman in her 40s presented with acute chest pain. Her vitals were within normal limits. Here is her triage ECG: Readers of…

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11 Min Read

Magnus Nossen

onFebruary 5, 2026

A male in his 30s with cardiac arrest. What is the etiology?

Written by Magnus Nossen A man in his early 30s was found unresponsive in bed by his wife. She immediately initiated CPR. Upon arrival,…

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8 Min Read

Steve Smith

onFebruary 1, 2026

Elderly F w h/o MI has nausea and vertigo, with RBBB. And what is the data on thrombolytics for patients without ST Elevation?

An elderly woman with h/o diabetes and prior MI with a stent presented with acute nausea and vertigo to a very remote hospital where acute OMI…

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Dr. Smith's ECG Blog

Heartfelt Reflections: Stories of Love, Loss, and Growth

Dofetilde (and ibutilide -Class III antidysrhythmics). What is the risk? How does it show on the ECG? What to do about the complication?

Fast, narrow, regular. What is it? More difficult: what to do??

How do you interpret this ECG without the clinical context (which I don’t know)?

Fascinating Wide Complex Tachycardia and instructive ECGs during chest pain

Is this a wide complex rhythm? (And what is the etoliogy, after you hear the history)

“Non-diagnostic” (even in retrospect) according to an entire conference full of ED docs and cardiologists.

A 50-something with chest pain. Look what happens if you don’t use the Queen of Hearts.

Will this patient get care of the past or care of the future? (NSTEMI is a worthless diagnosis)

A male in his 30s with cardiac arrest. What is the etiology?

Elderly F w h/o MI has nausea and vertigo, with RBBB. And what is the data on thrombolytics for patients without ST Elevation?