January 2024 - Dr. Smith’s ECG Blog

Home Archives for January 2024

4 Min Read

onJanuary 31, 2024

Chest pain, ST Elevation, well-formed Q-waves, and infarction with peak hs troponin I over 1000 ng/L. Is it OMI?

A 60-something male presented stating that he had had chest pain that morning which awoke him from sleep but then resolved after several…

4 Min Read

Steve Smith

onJanuary 29, 2024

A 40-something with chest pain

This was sent by Sam Ghali @EM_RESUS A 44 year old man presented with chest pain The tech came running with the ECG as the computer called…

9 Min Read

Jesse McLaren

onJanuary 27, 2024

Chest pain and a computer ‘normal’ ECG. Therefore, there is no need for a physician to look at this ECG.

Written by Jesse McLaren, comments by Smith A 55 year old with a history of NSTEMI presented with two hours of exertional chest pain, with…

5 Min Read

Steve Smith

onJanuary 25, 2024

Acute chest pain in a patient with LVH and known coronary disease. What does the ECG show?

A 40-something with severe diabetes on dialysis and with known coronary disease presented with acute crushing chest pain. Here is his ED ECG:…

10 Min Read

Magnus Nossen

onJanuary 23, 2024

What kind of AV block is this? And why does she develop Ventricular Tachycardia?

This was written by Magnus Nossen The patient is a female in her 50s. She presented with a one week hx of «dizziness» and weakness. She was…

5 Min Read

Pendell Meyers

onJanuary 20, 2024

A man in his 30s with chest pain. How was he managed? What if they had used the Queen of Hearts?

Written by Pendell Meyers A man in his late 30s with history of hypertension, tobacco use, and obesity presented to the Emergency Department…

9 Min Read

Jesse McLaren

onJanuary 17, 2024

Two patients with chest pain, with QRS obscured: which was STEMI positive, and which had Occlusion MI?

Written by Jesse McLaren Two patients presented with acute chest pain, and below are the precordial leads V1-6 for each. Patient 1 (ECG…

8 Min Read

Willy Frick

onJanuary 15, 2024

Noisy, low amplitude ECG in a patient with chest pain

Written by Colin Jenkins. Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong…

Willy Frick

onJanuary 15, 2024

Noisy, low amplitude ECG in a patient with chest pain

10 Min Read

Willy Frick

onJanuary 13, 2024

Orthostatic hypotension onset after invasive procedure?

Written by Willy Frick A man in his 70s with a history of HFrEF and sick sinus syndrome s/p dual chamber pacemaker placement was admitted…

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Dr. Smith's ECG Blog

Month: January 2024

Chest pain, ST Elevation, well-formed Q-waves, and infarction with peak hs troponin I over 1000 ng/L. Is it OMI?

A 40-something with chest pain

Chest pain and a computer ‘normal’ ECG. Therefore, there is no need for a physician to look at this ECG.

Acute chest pain in a patient with LVH and known coronary disease. What does the ECG show?

What kind of AV block is this? And why does she develop Ventricular Tachycardia?

A man in his 30s with chest pain. How was he managed? What if they had used the Queen of Hearts?

Two patients with chest pain, with QRS obscured: which was STEMI positive, and which had Occlusion MI?

Noisy, low amplitude ECG in a patient with chest pain

Noisy, low amplitude ECG in a patient with chest pain

Orthostatic hypotension onset after invasive procedure?