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

5 Min Read

onApril 20, 2022

What do you think when you see ST elevation or ST depression on the monitor? (A lesson on High Pass filtering from Christopher Watford)

This has an explanation from Christopher Watford, who is not only a paramedic with amazing EKG skills, but a math and computer wizard. …

6 Min Read

Steve Smith

onApril 17, 2022

What is this ST Elevation?

This patient was sent to the ED because of a potassium of 6.1 mEq/L and some acute renal insufficiency. He had an ECG recorded: This was…

6 Min Read

Steve Smith

onApril 11, 2022

RBBB with STE in I and aVL. Will the angiogram tell you if this ECG represents Occlusion MI or not?

A middle aged male with history of STEMI and stents presented with one hour of chest pain. Here is his ED ECG: What do you think? Analysis:…

WPW mimicking ischemia

4 Min Read

Steve Smith

onApril 5, 2022

Diffuse ST Depression, with ST Elevation in aVR. Do you see the diagnosis?

This was texted to me from 2000 miles away. It is from a 30-something male with chest pain. There was worry for ischemia.…

7 Min Read

Steve Smith

onMarch 26, 2022

Is there evidence of OMI on this ECG?

This is another one from Amandeep (“Deep”) Singh, with many comments by Smith. Dept Emergency Medicine, Highland…

8 Min Read

Steve Smith

onMarch 23, 2022

Intermittent Chest pain with Nausea and Vomiting, resolved at this moment

This is from Amandeep (“Deep”) Singh. Dept Emergency Medicine, Highland Hospital, Oakland. Case 51 yo male who…

6 Min Read

Steve Smith

onMarch 20, 2022

I was reading EKGs on the system and came across this one

I was reading through EKGs on the system and came across this one: Computer interpretation: Preliminary result by Interface SINUS RHYTHM…

2 Min Read

Steve Smith

onMarch 18, 2022

I was reading EKGs on the system and came across this one. Among the chaotic waves, what stands out?

I was reading EKGs on the system and came across this one. What is it? It looks confusing, right? Like there are just too…

2 Min Read

Steve Smith

onMarch 3, 2022

A 40-something woman with severe chest pain and ST Elevation

This 40-something woman presented with severe anterior chest pain. The prehospital ECG looked the same and the medics were worried about the…

8 Min Read

Steve Smith

onFebruary 22, 2022

A 40-something man with very elevated blood pressure and acute severe chest pain

This 40-something male whose only medical history was hypertension presented with acute chest pain. A 12-lead ECG was immediately recorded…

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Dr. Smith's ECG Blog

Steve Smith

What do you think when you see ST elevation or ST depression on the monitor? (A lesson on High Pass filtering from Christopher Watford)

What is this ST Elevation?

RBBB with STE in I and aVL. Will the angiogram tell you if this ECG represents Occlusion MI or not?

Diffuse ST Depression, with ST Elevation in aVR. Do you see the diagnosis?

Is there evidence of OMI on this ECG?

Intermittent Chest pain with Nausea and Vomiting, resolved at this moment

I was reading EKGs on the system and came across this one

I was reading EKGs on the system and came across this one. Among the chaotic waves, what stands out?

A 40-something woman with severe chest pain and ST Elevation

A 40-something man with very elevated blood pressure and acute severe chest pain