November 2023 - Dr. Smith’s ECG Blog

Home Archives for November 2023

7 Min Read

onNovember 29, 2023

Quiz post: 2 similar patients with similar ECGs. Which, if any, or both, are OMI? Will you outperform the Queen of Hearts?

Written by Pendell Meyers Two adult patients in their 50s called EMS for acute chest pain that started within the last hour. Both were…

7 Min Read

Jesse McLaren

onNovember 27, 2023

Chest pain and new regional/reciprocal ECG changes compared to previous ECGs: code STEMI?

Written by Jesse McLaren A 45 year old presented with two weeks of recurring non-exertional chest pain, now constant for an hour.…

6 Min Read

Steve Smith

onNovember 22, 2023

Infection and DKA, then sudden dyspnea with chest pain while in the ED

A 63 year old male with PMH of CAD and peripheral vascular disease from type I DM presented to clinic and was found to have a very high blood…

5 Min Read

Steve Smith

onNovember 18, 2023

Acute Dyspnea and Right Bundle Branch Block

I was texted this ECG just as I was getting into bed. It is of an elderly woman who complained of shortness of breath and had a recent stent…

12 Min Read

Steve Smith

onNovember 16, 2023

What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?

A 70-something female with no previous cardiac history presented with acute chest pain. She awoke from sleep last night…

7 Min Read

Steve Smith

onNovember 14, 2023

How important are old ECGs in Non-obvious cases of potential OMI?

In the last post, we saw how important old ECGs are in assessing the current ECG in a patient without atypical presentation (in this previous…

6 Min Read

Steve Smith

onNovember 11, 2023

A 90-something with acute stroke. She has no chest symptoms. What is the diagnosis?

A 90-something year old woman presented with an acute mild stroke. She had a routine ECG as part of her workup: What do you think? This was…

5 Min Read

Steve Smith

onNovember 9, 2023

Explain this ECG in the context of active chest pain, slightly elevated troponin without a delta, RCA culprit, and previous with LBBB

A 60-something yo female presented w/ exertional chest pain for 3 days. She had a recent positive stress test about one week ago. Pain was…

7 Min Read

Magnus Nossen

onNovember 5, 2023

Wide complex and apparent hyperacute T-waves. Does absence of change from previous ECG mean that it is not New?

By Magnus Nossen, edits by Grauer and Smith The patient is a 70-something female with DMII, HTN and an extensive prior history of coronary…

Magnus Nossen

onNovember 5, 2023

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Dr. Smith's ECG Blog

Month: November 2023

Quiz post: 2 similar patients with similar ECGs. Which, if any, or both, are OMI? Will you outperform the Queen of Hearts?

Chest pain and new regional/reciprocal ECG changes compared to previous ECGs: code STEMI?

Infection and DKA, then sudden dyspnea with chest pain while in the ED

Acute Dyspnea and Right Bundle Branch Block

What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?

How important are old ECGs in Non-obvious cases of potential OMI?

A 90-something with acute stroke. She has no chest symptoms. What is the diagnosis?

Explain this ECG in the context of active chest pain, slightly elevated troponin without a delta, RCA culprit, and previous with LBBB

Wide complex and apparent hyperacute T-waves. Does absence of change from previous ECG mean that it is not New?

Wide complex and apparent hyperacute T-waves. Does absence of change from previous ECG mean that it is not New?