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

3 Min Read

onJanuary 12, 2010

HyperKalemia with Cardiac Arrest. Peaked T waves: Hyperacute (STEMI) vs. Early Repolarizaton vs. Hyperkalemia

For more on hyperkalemia, click here (includes a great case of incessant ventricular tachycardia). For more on early repolarization, see these…

2 Min Read

Steve Smith

onDecember 14, 2009

Pseudonormalization of T waves, Coronary occlusion without 1 mm ST elevation

See 6 even better cases of T-wave pseudonormalization here. Here is another case. Do not miss this one: A Middle-Age Male with Chest…

2 Min Read

Steve Smith

onDecember 5, 2009

Posterior ST Elevation MI in the Setting of Right Bundle Branch Block, with Posterior Leads V7-V9

This is a 68 year old man who had a resuscitated cardiac arrest. His prehospital ECG looks identical to this one which was recorded upon…

1 Min Read

Steve Smith

onNovember 29, 2009

STEMI best seen in PVC

See this post for a wide complex that hides ischemic findings. See this post for a difficult diagnosis in the context of a wide complex. Case…

2 Min Read

Steve Smith

onNovember 21, 2009

Probable Left Main coronary artery occlusion/obstruction, with STE in aVR, alternating BBB, and arrest

This 59 yo male had sudden chest and abdominal pain and dyspnea. He called 911. Paramedics found him in profound distress, stating “I…

Right Ventricular Hypertrophy

1 Min Read

Steve Smith

onOctober 16, 2009

Severe Right Ventricular Hypertrophy

This 23 year old presented to the Emergency Department with pharyngitis, but also complained of dyspnea on exertion. This ECG was recorded:…

Steve Smith

onOctober 12, 2009

Comment on Posterior STEMI

I had a very good question regarding the post on posterior STEMI, and I wanted to be sure that the answer gets attention: smallville…

1 Min Read

Steve Smith

onOctober 8, 2009

Altered Mental Status, Tachycardia, Hypotension, Hyperglycemia, Ill appearing

This diabetic patient with the ECG below was brought in by medics confused, tachycardic, and hyperglycemic, Kussmauling. The computerized ECG…

1 Min Read

Steve Smith

onOctober 8, 2009

Left Ventricular Hypertrophy May Result in Profound ST Elevation

This 75 year old man presented with weakness. His blood pressure was 220/80. He was found to have renal failure. He ruled out for MI. There…

inferior hyperacute T-waves

3 Min Read

Steve Smith

onAugust 26, 2009

Inferior Hyperacute T-waves

This is a 58 year old male with 40 minutes of chest pain of acute onset. He called 911 and paramedics recorded a prehospital 12 lead ECG which…

What are You Looking For?

Dr. Smith's ECG Blog

Steve Smith

HyperKalemia with Cardiac Arrest. Peaked T waves: Hyperacute (STEMI) vs. Early Repolarizaton vs. Hyperkalemia

Pseudonormalization of T waves, Coronary occlusion without 1 mm ST elevation

Posterior ST Elevation MI in the Setting of Right Bundle Branch Block, with Posterior Leads V7-V9

STEMI best seen in PVC

Probable Left Main coronary artery occlusion/obstruction, with STE in aVR, alternating BBB, and arrest

Severe Right Ventricular Hypertrophy

Comment on Posterior STEMI

Altered Mental Status, Tachycardia, Hypotension, Hyperglycemia, Ill appearing

Left Ventricular Hypertrophy May Result in Profound ST Elevation

Inferior Hyperacute T-waves