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

7 Min Read

onSeptember 19, 2020

Cardiac arrest with anterior-inferior STEMI: Guess the value of the initial ED high sensitivity Abbott troponin I

A ~40 year old woman started having chest discomfort. She called 911 after an uncertain amount of time. EMS arrived and recorded…

10 Min Read

Steve Smith

onSeptember 15, 2020

A 58 year old collapses in the hot sun

A 58 yo male was out working in the hot sun for 2-3 hours. He stated he almost passed out, and bystanders called 911. They give him water with…

7 Min Read

Steve Smith

onSeptember 11, 2020

An 18 year old with chest pain and diffuse ST Elevation

An 18 year old complained of chest pain. Here is his ECG: What do you think? Comment on ECG Many immediately think this is…

10 Min Read

Steve Smith

onSeptember 7, 2020

Young Man with a Heart Rate of 257. What is it and how to manage?

A 30-something was in the ED for some minor trauma when he was noted to have a fast heart rate. He acknowledged that he had…

6 Min Read

Steve Smith

onSeptember 5, 2020

A patient with chest pain and ST Elevation in V1 and V2

A 56 year old male complained of chest pain and called 911. They recorded a prehospital ECG: As you can see, at the top it says ***Meet ST…

9 Min Read

Steve Smith

onSeptember 1, 2020

21 year old woman with CP, SOB, then syncope, and with ST depression with T-wave inversion in V1-V3

You can see that I (Smith) have too much time on my hands now, as it is a beautiful Saturday afternoon and I am laid up, non-weight bearing…

6 Min Read

Steve Smith

onAugust 30, 2020

A 31 year old with Diabetes and HTN complains of bilateral arm tingling and headache

This ECG was texted to me with the message “A 31 year old with Diabetes and HTN complains of bilateral arm tingling and headache.”…

9 Min Read

Steve Smith

onAugust 28, 2020

3 days of shoulder and chest pain, and now cardiogenic shock

I was texted these ECGs. “Bad chest pressure with severe left shoulder pain 3 nights ago. Then SOB and nausea the next day. …

7 Min Read

Steve Smith

onAugust 19, 2020

Chest pressure and T-wave inversions. Not what you might think.

A 40-something male had been in the ED for many hours for altered mental status due to alcohol, when he became more alert and complained of…

9 Min Read

Steve Smith

onAugust 13, 2020

Chest discomfort, Sinus Tachycardia, Q-waves, ST Elevation, and Intermittent Wide Complex Tachycardia. Activate the Cath Lab?

This ECG was texted to me with no other information: Computer Diagnosis: SINUS TACHYCARDIA INCOMPLETE RIGHT BUNDLE BRANCH BLOCK [90+ ms QRS…

What are You Looking For?

Dr. Smith's ECG Blog

Steve Smith

Cardiac arrest with anterior-inferior STEMI: Guess the value of the initial ED high sensitivity Abbott troponin I

A 58 year old collapses in the hot sun

An 18 year old with chest pain and diffuse ST Elevation

Young Man with a Heart Rate of 257. What is it and how to manage?

A patient with chest pain and ST Elevation in V1 and V2

21 year old woman with CP, SOB, then syncope, and with ST depression with T-wave inversion in V1-V3

A 31 year old with Diabetes and HTN complains of bilateral arm tingling and headache

3 days of shoulder and chest pain, and now cardiogenic shock

Chest pressure and T-wave inversions. Not what you might think.

Chest discomfort, Sinus Tachycardia, Q-waves, ST Elevation, and Intermittent Wide Complex Tachycardia. Activate the Cath Lab?