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

5 Min Read

onOctober 28, 2023

Continuous prolonged generalized weakness, lightheadedness, and presyncope. What might you suspect from the ECG?

A young man presented with continuous prolonged generalized weakness, lightheadedness, and presyncope. There was some dyspnea but no…

6 Min Read

Steve Smith

onOctober 21, 2023

VT? Or Supraventricular tachycardic rhythm with aberrancy?

A 70 something male presented in severe respiratory distress. The patient had altered mental status and so he was prepared for…

4 Min Read

Steve Smith

onOctober 17, 2023

Repost from Saturday Oct 14: The Queen gets it right with a better image

This is a case I posted Saturday, October 14. This ECG was texted to me after the fact with no information. What do you think? This is the ECG…

8 Min Read

Steve Smith

onOctober 14, 2023

This ECG was texted to me after the fact with no information. What do you think?

This ECG was texted to me with no other information, with this quote: “You will see this in the Queen of Hearts.” I assumed…

7 Min Read

Steve Smith

onOctober 6, 2023

What is the infarct artery? What does the post PCI ECG show? What does the convalescent ECG show?

What is the infarct artery? I usually don’t ask this question, as it is rarely relevant to the decision to activate the cath…

3 Min Read

Steve Smith

onSeptember 29, 2023

Proportionality and Serial ECGs Make the Diagnosis. What does the Queen say?

This case comes from Jason Winter, of The Facebook Clinical Electrocardiology ECG Page. A 60-something woman called EMS for chest pain. Here…

5 Min Read

Steve Smith

onSeptember 26, 2023

Which patient has the more severe chest pain?

2 middle aged males presented with chest pain. Which had the more severe chest pain at the time of the ECG? Here is the ECG of…

5 Min Read

Steve Smith

onSeptember 22, 2023

This ECG was texted to me: normal variant early repolarization, or LAD Occlusion MI (OMI)?

This ECG was texted to me with no other information. I assumed the presentation was consistent with acute MI. What did I say?…

10 Min Read

Steve Smith

onSeptember 20, 2023

A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

Case submitted by anonymous. Written by Smith. Ken’s piece at the bottom is excellent. A 50-something presented with sudden onset…

3 Min Read

Steve Smith

onSeptember 15, 2023

A 60-year-old diabetic with chest pain, cath lab activated

I came to work one day and one of my partners said, “Hey, Steve, we had a STEMI this afternoon!” I said, “Cool, can I see…

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Dr. Smith's ECG Blog

Steve Smith

Continuous prolonged generalized weakness, lightheadedness, and presyncope. What might you suspect from the ECG?

VT? Or Supraventricular tachycardic rhythm with aberrancy?

Repost from Saturday Oct 14: The Queen gets it right with a better image

This ECG was texted to me after the fact with no information. What do you think?

What is the infarct artery? What does the post PCI ECG show? What does the convalescent ECG show?

Proportionality and Serial ECGs Make the Diagnosis. What does the Queen say?

Which patient has the more severe chest pain?

This ECG was texted to me: normal variant early repolarization, or LAD Occlusion MI (OMI)?

A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?

A 60-year-old diabetic with chest pain, cath lab activated