Steve Smith, Author at Dr. Smith’s ECG Blog

ST elevation

1 Min Read

onDecember 9, 2013

How to measure ST Elevation at 60 milliseconds after the J-point in lead V3, relative to the PR Segment

The formula for differentiating early repol and anterior STEMI requires one measurement which many have found difficult to understand. Here is…

Steve Smith

onDecember 7, 2013

Beta Blockers in Anterior STEMI: Have We Come Full Circle?

A new small randomized trial suggests that early intravenous metoprolol, early after symptoms and prior to PCI for anterior STEMI, reduces…

5 Min Read

Steve Smith

onDecember 6, 2013

Several Wide Complex Rhythms in One Patient. Test yourself: Will You See What I Did Not See?

This time I’m going to tell you that the case is mine because the mistakes were mine. I sat down to write one narrative, but as I…

Steve Smith

onDecember 6, 2013

Terbutaline and Albuterol for Lowering of Plasma Postassium

The below abstracts show that beta 2 adrenergic agonists are effective at treating hyperkalemia. They do so by “shifting” K…

1 Min Read

Steve Smith

onNovember 29, 2013

What Does this ECG tell us about the Electrolytes?

See description and answer below Hint: this is a dialysis patient 1. There are peaked T-waves 2. There is a long ST segment, resulting in a…

4 Min Read

Steve Smith

onNovember 25, 2013

CHF Exacerbation with Old LBBB: Is There New Infarction or Not?

An very elderly woman with a h/o CAD with stents to the RCA and circ, mild aortic stenosis, h/o ischemic cardiomyopathy, EF 25%, and h/o heart…

2 Min Read

Steve Smith

onNovember 22, 2013

You MUST recognize this pattern, even if it is not common

Disclaimer: I never state from where I get a case. They come from all over the world. Any case may or may not be from my own…

5 Min Read

Steve Smith

onNovember 18, 2013

Another STEMI in a Young Person with no CP or SOB: Why We Should Record an ECG for Unexplained Nonspecific Symptoms

There are many interesting facets to this case. I have highlighted the clinical factors over the ECGs, but the ECGs are very instructive…

5 Min Read

Steve Smith

onNovember 15, 2013

Why we need continuous 12-lead ST segment monitoring in Wellens’ syndrome

Also see this incredible case of the use of 12-lead ST Segment monitoring. This was a male in his 50’s with a history of hypertension…

posterior reperfusion T-waves

2 Min Read

Steve Smith

onNovember 12, 2013

Anterior ST elevation: Anterior STEMI? A mysterious case.

A male in his 60’s was brought in for intoxication and agitation. 15 minutes after arrival he was calm but complaining…

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Dr. Smith's ECG Blog

Steve Smith

How to measure ST Elevation at 60 milliseconds after the J-point in lead V3, relative to the PR Segment

Beta Blockers in Anterior STEMI: Have We Come Full Circle?

Several Wide Complex Rhythms in One Patient. Test yourself: Will You See What I Did Not See?

Terbutaline and Albuterol for Lowering of Plasma Postassium

What Does this ECG tell us about the Electrolytes?

CHF Exacerbation with Old LBBB: Is There New Infarction or Not?

You MUST recognize this pattern, even if it is not common

Another STEMI in a Young Person with no CP or SOB: Why We Should Record an ECG for Unexplained Nonspecific Symptoms

Why we need continuous 12-lead ST segment monitoring in Wellens’ syndrome

Anterior ST elevation: Anterior STEMI? A mysterious case.