Heartfelt Reflections: Stories of Love, Loss, and Growth

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5 Min Read

Steve Smith

onApril 6, 2026

60 yo with Chest pain and cardiogenic shock, with acute LV failure. Does it matter what the ECG shows? And why is the entire heart affected?

A 60-something male with CAD w prior stenting, prior LV thrombus, ischemic cardiomyopathy, HFrEF with his last ejection fraction (EF) at…

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6 Min Read

Magnus Nossen

onApril 2, 2026

An 80-year-old with intermittent CP

Written by Magnus Nossen An 80-year-old man with a history of hypertension and paroxysmal atrial fibrillation contacted EMS due to episodes of…

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4 Min Read

Steve Smith

onMarch 30, 2026

30-something with chest pain

This was sent by a former resident. A 30-something male presented 4 hours after onset of chest pain. He had had some chest pain 2 days earlier…

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7 Min Read

Magnus Nossen

onMarch 23, 2026

Syncope and WCT after physical exertion

Written by Magnus Nossen Today’s patient is a 60-something male with a history of atrial fibrillation managed with a rhythm control strategy…

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8 Min Read

Steve Smith

onMarch 21, 2026

Acute chest pain and ST Elevation. Take a moment to look through the chart!

A 40-something man presented with with 10/10 chest pain after cocaine use. The chest pain had been present for 1 hour. On arrival in the ED, a…

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5 Min Read

Steve Smith

onMarch 18, 2026

Recurrent and refractory Chest pain after infarct in a developing country

A 70-something Patient started having chest pain about one hour prior to arrival. She had had a “heart attack” about two weeks ago…

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4 Min Read

Jesse McLaren

onMarch 16, 2026

50 year old with shortness of breath

Written by Matt McArthur, edited by Jesse McLaren ED Triage nurse comes to me and asks to look at the ECG of a 50 year old patient. They…

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7 Min Read

Pendell Meyers

onMarch 13, 2026

Quiz post: both patients with acute chest pain in the middle of the night, which or both or neither need emergent reperfusion?

Published study: When the ECG was very difficult, the Queen was 7.36 times more likely to be correct than the Standard of Care. Patient #1:…

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6 Min Read

Steve Smith

onMarch 11, 2026

Acute Cardiogenic Shock in a patient with ventricular paced rhythm.

A 70 something with history of coronary disease and pulmonary embolism presented with sudden onsent chest pain, diaphoresis, and abdominal…

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10 Min Read

Magnus Nossen

onMarch 9, 2026

A 50-year old with palpitations. How will you treat?

Written by Magnus Nossen Today’s patient is a 50-something male with a history of mechanical aortic valve due to aortic insufficiency. He is…

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Dr. Smith's ECG Blog

Heartfelt Reflections: Stories of Love, Loss, and Growth

60 yo with Chest pain and cardiogenic shock, with acute LV failure. Does it matter what the ECG shows? And why is the entire heart affected?

An 80-year-old with intermittent CP

30-something with chest pain

Syncope and WCT after physical exertion

Acute chest pain and ST Elevation. Take a moment to look through the chart!

Recurrent and refractory Chest pain after infarct in a developing country

50 year old with shortness of breath

Quiz post: both patients with acute chest pain in the middle of the night, which or both or neither need emergent reperfusion?

Acute Cardiogenic Shock in a patient with ventricular paced rhythm.

A 50-year old with palpitations. How will you treat?