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

5 Min Read

onJanuary 2, 2023

An ECG which is obviously diagnostic of OMI can appear wholly non-specific to most interpreters. A comment on AI.

This was texted to me by a former resident, with no information: What do you think? Here Ken Grauer has used the PM Cardio app to…

6 Min Read

Steve Smith

onDecember 23, 2022

30-something woman with a HEART score of zero, EDACS of 2, computer “Normal” ECG, and initial troponin < Limit of Detection

I was working in triage very late when a 30 yo previously completely healthy woman walked in with 30 minutes of central chest pressure. This…

5 Min Read

Steve Smith

onDecember 16, 2022

Right Bundle Branch Block and Posterior OMI????

This 39 year old patient presents with syncope. What do you think? There appears to be RBBB with excessively discordant ST depression…

6 Min Read

Steve Smith

onDecember 10, 2022

Syncope, hypotension, vomiting and diaphoresis in a 60-something male with Diabetes and Hypertension

I was texted this ECG by one of my partners, with the following history: A 60-something male with diabetes and HTN…

arterial pulse tapping artifact

6 Min Read

Steve Smith

onDecember 5, 2022

Are these Hyperacute T-waves?

I received this ECG in a text message, with the message: “Hey, these look like hyperacute T waves to me, what do you think? It’s…

13 Min Read

Steve Smith

onNovember 30, 2022

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said “Nothing too exciting.”

This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS’s specialized…

7 Min Read

Steve Smith

onNovember 25, 2022

Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L?

A 30-something male was involved in a single vehicle crash and had multiple injuries. As a routine part of his critical trauma…

6 Min Read

Steve Smith

onNovember 8, 2022

I was shown this ECG without any information. What do you think?

I was shown this ECG; “Steve, what do you think of this?”: What is going on? I said: “This is pulse tapping artifact and a…

9 Min Read

Steve Smith

onNovember 1, 2022

Opiate overdose, without chest pain or shortness of breath. Cognitive dissonance.

I was reading EKGs on the system and saw this one….. What did I put in as my interpretation? Interpretation: “Acute LAD occlusion…

5 Min Read

Steve Smith

onOctober 28, 2022

I’m so sorry when medics get abused for activating the cath lab

Cortland Ashbrook from Spokane County, Washington, sent this message: Hey doctor Smith, I wondered if you’d give me your opinion on these ECG…

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Dr. Smith's ECG Blog

Steve Smith

An ECG which is obviously diagnostic of OMI can appear wholly non-specific to most interpreters. A comment on AI.

30-something woman with a HEART score of zero, EDACS of 2, computer “Normal” ECG, and initial troponin < Limit of Detection

Right Bundle Branch Block and Posterior OMI????

Syncope, hypotension, vomiting and diaphoresis in a 60-something male with Diabetes and Hypertension

Are these Hyperacute T-waves?

Upon arrival to the emergency department, a senior emergency physician looked at the ECG and said “Nothing too exciting.”

Patient in Single Vehicle Crash: What is this ST Elevation, with Peak Troponin of 6500 ng/L?

I was shown this ECG without any information. What do you think?

Opiate overdose, without chest pain or shortness of breath. Cognitive dissonance.

I’m so sorry when medics get abused for activating the cath lab