October 2021 - Dr. Smith’s ECG Blog

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3 Min Read

onOctober 29, 2021

A deadly alcohol binge: a man in his 30s with chest pain and initial high sensitivity troponin I within normal limits

Submitted and written by Emergency Physician Dr. Arjun J V, with some minimal edits by Smith and Meyers A man in his 30s was rushed into our…

8 Min Read

Steve Smith

onOctober 25, 2021

Acute Pulmonary Edema, PEA Arrest, LBBB, First degree AV Block, and STD maximal in V3, V4

An elderly woman had sudden SOB and 911 was called. Medics found her with labored breathing and 75% saturations. She was put on…

4 Min Read

Pendell Meyers

onOctober 22, 2021

An elderly man who dies 12 hours later – could he have been saved?

Sent by Anonymous, written by Pendell Meyers and Steve Smith An elderly man with good neurologic baseline but history of CABG presented to the…

2 Min Read

Steve Smith

onOctober 18, 2021

I thought the ECG diagnosis was obvious. But many missed it. So I’m showing it.

I was reading ECGs in the system and came across this one: What do you think? Computer diagnosis: –ST DEVIATION AND MARKED T-WAVE…

5 Min Read

Pendell Meyers

onOctober 16, 2021

A 50s year old man with lightheadedness and bradycardia

Written by Pendell Meyers with edits by Smith and Grauer A man in his 50s with history of end stage renal disease on dialysis, prior…

3 Min Read

Steve Smith

onOctober 14, 2021

A New Seizure in a Healthy 20-something

A 20-something year old who is the picture of good health presented with a new onset seizure. A witness described what sounded like a 3…

3 Min Read

Steve Smith

onOctober 8, 2021

Hyperkalemia: is it the cause of this AV Block, ST Elevation, and T-wave inversion?

I was texted this ECG: What do you think? This was my response: “Yikes. Pacer and Cath Lab!!” He asked: “Could this all be…

6 Min Read

Pendell Meyers

onOctober 5, 2021

A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him?

Written by Pendell Meyers A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up…

3 Min Read

Pendell Meyers

onOctober 4, 2021

A woman in her 60s with misdiagnosed palpitations, part 2: Case follow up!

Written by Pendell Meyers This post will be follow up information on the patient from this recent case linked below. Make sure to read…

5 Min Read

Alex Bracey

onOctober 2, 2021

Chest pain in a 30-something: Is it Normal variant STE or OMI? Get the prior ECG, and don’t trust Point of Care troponin assays!

Submitted by Benjamin Garbus, MD with edits by Bracey, Meyers, and Smith A man in his early 30s presented to the ED with chest pain…

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Dr. Smith's ECG Blog

Month: October 2021

A deadly alcohol binge: a man in his 30s with chest pain and initial high sensitivity troponin I within normal limits

Acute Pulmonary Edema, PEA Arrest, LBBB, First degree AV Block, and STD maximal in V3, V4

An elderly man who dies 12 hours later – could he have been saved?

I thought the ECG diagnosis was obvious. But many missed it. So I’m showing it.

A 50s year old man with lightheadedness and bradycardia

A New Seizure in a Healthy 20-something

Hyperkalemia: is it the cause of this AV Block, ST Elevation, and T-wave inversion?

A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him?

A woman in her 60s with misdiagnosed palpitations, part 2: Case follow up!

Chest pain in a 30-something: Is it Normal variant STE or OMI? Get the prior ECG, and don’t trust Point of Care troponin assays!