April 2021 - Dr. Smith’s ECG Blog

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6 Min Read

onApril 30, 2021

This patient with “NSTEMI” was not allowed to go to the cath lab. Then the ED provider obtained an emergent coronary CT angio. What do you think it showed?

Submitted by Shakita Crichlow MD, edits by Meyers A female in her 60s presented with chest pain off and on starting the day before…

2 Min Read

Steve Smith

onApril 28, 2021

Fever, tachycardia, hypotension, hypoxia and “SVT”

This 40-something presented with hypoxia, BP 60/30, pulse 195, and Temp of 40 C. He had what appeared to be SVT on the monitor. Here is his…

6 Min Read

Pendell Meyers

onApril 25, 2021

A woman in her 40s with palpitations and chest pressure of unusual etiology

Submitted and written by Magnus Nossen MD from Norway, with some minor edits by Meyers and Smith A female in her 40s with no known cardiac…

2 Min Read

Steve Smith

onApril 21, 2021

This is really good Prehospital, ED, and Cardiology care. Inferior de Winter’s T-waves.

A 50-something y.o. male with history of previous acute MI and stent was shoveling snow. Shortly thereafter he had the onset of…

3 Min Read

Steve Smith

onApril 19, 2021

This case was flagged as a false positive cath lab activation. Why? And do you agree?

An 80 – something with h/o hypertension and hyperlipidemia complained of chest pain off and on all day, then recurring acutely. He…

6 Min Read

Pendell Meyers

onApril 16, 2021

A man in his 60s with diaphoresis, vomiting, and inferior STE

Written by Pendell Meyers A man in his 60s appeared altered and diaphoretic and vomiting to a bystander, who called EMS. EMS personnel agreed…

OMI Journal Articles

1 Min Read

Steve Smith

onApril 12, 2021

New Paper: Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute OMI.

Just published online today by Meyers and Smith. @PendellM This is our best and most important work ever. Another nail in the STEMI/NonSTEMI…

5 Min Read

Alex Bracey

onApril 12, 2021

Getting It Right Despite the Wrong Paradigm

Written by Alex Bracey, edits by Meyers and Smith A 50 something year old male presented to the ED as a transfer from an outside hospital with…

2 Min Read

Steve Smith

onApril 8, 2021

An 80-something with weakness, cough, and CP. Should this ECG provoke a Prehospital Cath Lab activation?

An 80-something called 911 for chest pain, generalized weakness, and cough. Here is his prehospital ECG: The medics were worried about this…

4 Min Read

Steve Smith

onApril 4, 2021

Paroxysmal Atrial Fibrillation with RVR, hypotension, volume depletion, good EF, AND pulmonary edema. Strange. Why? What to do?

A 30-something woman presented with a few days of feeling ill. She had a history of paroxysmal atrial fibrillation, bio-prosthetic…

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Dr. Smith's ECG Blog

Month: April 2021

This patient with “NSTEMI” was not allowed to go to the cath lab. Then the ED provider obtained an emergent coronary CT angio. What do you think it showed?

Fever, tachycardia, hypotension, hypoxia and “SVT”

A woman in her 40s with palpitations and chest pressure of unusual etiology

This is really good Prehospital, ED, and Cardiology care. Inferior de Winter’s T-waves.

This case was flagged as a false positive cath lab activation. Why? And do you agree?

A man in his 60s with diaphoresis, vomiting, and inferior STE

New Paper: Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute OMI.

Getting It Right Despite the Wrong Paradigm

An 80-something with weakness, cough, and CP. Should this ECG provoke a Prehospital Cath Lab activation?

Paroxysmal Atrial Fibrillation with RVR, hypotension, volume depletion, good EF, AND pulmonary edema. Strange. Why? What to do?