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

3 Min Read

onAugust 7, 2017

A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS

This is a 50-something with no previous medical history who presented to triage at time zero after 3 hours of substernal chest pain associated…

10 Min Read

Steve Smith

onAugust 3, 2017

Right precordial ST depression in a patient with chest pain

This case comes from Sam Ghali (@EM_RESUS). Thanks, Sam! A 70-year-old man calls 911 after experiencing sudden, severe chest…

4 Min Read

Steve Smith

onAugust 1, 2017

ST Elevation in I and aVL: do prehospital cath lab activation on these cases?

Case 1. A 50-something year old man with 2 cardiac risk factors had a syncopal episode associated with diaphoresis. There was no chest…

2 Min Read

Steve Smith

onJuly 30, 2017

Chest Pain and ST Elevation on the Monitor

A 50-something patient who had just had a median sternotomy called 911 for chest pain. The medics put him on the monitor and saw this: Note…

4 Min Read

Steve Smith

onJuly 25, 2017

A Healthy 50-something with new dyspnea on exertion and an interesting ECG

A healthy 50-something who exercises regularly had new onset of dyspnea on even the slightest exertion for the previous 2 days. He…

3 Min Read

Steve Smith

onJuly 23, 2017

2 Cases of Resolved Chest Pain with Dynamic Terminal T-wave Inversion

Here are two different series of ECGs in 2 different patients with chest tightness/discomfort that resolved. Case 1 A 20-something with chest…

3 Min Read

Steve Smith

onJuly 19, 2017

What is this rhythm?

Unfortunately, I remember who sent this EKG to me, or the clinical information, but it is a very interesting tracing. What is it? Below is an…

3 Min Read

Steve Smith

onJuly 17, 2017

Wide complex tachycardia at a rate of 270

Unfortunately, this case lacks some of the clinical data, but not so much that we can’t learn something from it. Case A 50-something…

3 Min Read

Steve Smith

onJuly 15, 2017

An elderly woman with dyspnea, asystolic arrest, resuscitated

911 was called for a very elderly dialysis patient for acute onset of dyspnea. On arrival, medics found the patient with agonal respirations.…

3 Min Read

Steve Smith

onJuly 12, 2017

An 82 year old with syncope

An 82 yo male stopped for lunch after cycling. Witnesses reported a syncopal episode lasting approximately 30 seconds. He has a history of…

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Dr. Smith's ECG Blog

Steve Smith

A 50-Something w Chest Pain, Anterior STE, and no Evolution on 3 Serial ECGs over 30 minutes, (-) POCUS

Right precordial ST depression in a patient with chest pain

ST Elevation in I and aVL: do prehospital cath lab activation on these cases?

Chest Pain and ST Elevation on the Monitor

A Healthy 50-something with new dyspnea on exertion and an interesting ECG

2 Cases of Resolved Chest Pain with Dynamic Terminal T-wave Inversion

What is this rhythm?

Wide complex tachycardia at a rate of 270

An elderly woman with dyspnea, asystolic arrest, resuscitated

An 82 year old with syncope