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

7 Min Read

onNovember 5, 2019

A healthy 30-something presented with nausea, vomiting, benign positional vertigo and atrial fibrillation

A healthy 30-something presented with nausea, vomiting, vertigo and atrial fibrillation. The vertigo is triggered by head movement and…

6 Min Read

Steve Smith

onNovember 1, 2019

How do you interpret this ECG?

Late in an evening shift, during a lull in care, I was reading a list of ECGs, one after another, on the computer queue and saw this one,…

5 Min Read

Steve Smith

onOctober 27, 2019

40-something male in a head-on Motor Vehicle Collision and Splenic Injury

A 40-something male presents to the stabilization room for evaluation following head on motor vehicle collision (MVC). Pt was reported…

6 Min Read

Steve Smith

onOctober 21, 2019

Is this ST depression due to “lateral ischemia”?

This patient who presented with acute heart failure has a history of heart failure and atrial fibrillation: This was interpreted as…

8 Min Read

Steve Smith

onOctober 20, 2019

60-something with 2 days of intermittent epigastric pain. Why does the cardiologist disagree?

One of our residents who just graduated 3 months ago texted me this ECG: “Hey Steve, would be grateful for any thoughts on this…

9 Min Read

Steve Smith

onOctober 7, 2019

A 40-Something male with a “Seizure,” Hypotension, and Bradycardia

This is by one of our outstanding 3rd year residents, Aaron Robinson, with some edits and comments by Smith EMS responded to a reported…

6 Min Read

Steve Smith

onOctober 2, 2019

Look at this ST Depression

A healthy 30-something presented with 2 days of chest heaviness. He had some risk factors for pulmonary embolism, but none for ACS.…

6 Min Read

Steve Smith

onSeptember 27, 2019

Chest pain with NonDiagnostic ECG but Diagnostic CT Scan

An elderly woman presented with chest pain that radiated to the back for several hours. Here is here initial ECG: There is only a nonspecific…

5 Min Read

Steve Smith

onSeptember 25, 2019

A 50-something woman with chest pain, BP 230/120, and LBBB with 7 mm ST Elevation

A 50-something woman with history of CHF of unknown etiology, and of HTN, presented for evaluation of chest pressure. Her BP was 223/125, Sp02…

6 Min Read

Steve Smith

onSeptember 22, 2019

A 40-something healthy male with transient chest squeezing

A 40-something man with Hx of treated HTN had chest “squeezing,” with SOB and diaphoresis, 10 hours prior to presentation. It…

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Dr. Smith's ECG Blog

Steve Smith

A healthy 30-something presented with nausea, vomiting, benign positional vertigo and atrial fibrillation

How do you interpret this ECG?

40-something male in a head-on Motor Vehicle Collision and Splenic Injury

Is this ST depression due to “lateral ischemia”?

60-something with 2 days of intermittent epigastric pain. Why does the cardiologist disagree?

A 40-Something male with a “Seizure,” Hypotension, and Bradycardia

Look at this ST Depression

Chest pain with NonDiagnostic ECG but Diagnostic CT Scan

A 50-something woman with chest pain, BP 230/120, and LBBB with 7 mm ST Elevation

A 40-something healthy male with transient chest squeezing