Jesse McLaren, Author at Dr. Smith’s ECG Blog

10 Min Read

onMay 27, 2024

Chest pain: Are these really “Nonspecific ST-T wave abnormalities”, as the cardiologist interpretation states?

Written by Jesse McLaren, with a very few edits by Smith A 60-year-old presented with chest pain. The ECG did not meet STEMI criteria,…

5 Min Read

Jesse McLaren

onMay 13, 2024

Two patients with diffuse ST depression and reciprocal ST elevation in aVR: do either/both/neither have Occlusion MI?

Written by Jesse McLaren, with additions from Smith Two patients presented with chest pain with ST elevation in aVR, and the same final ECG…

7 Min Read

Jesse McLaren

onApril 19, 2024

Is OMI an ECG Diagnosis?

Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of…

5 Min Read

Jesse McLaren

onMarch 14, 2024

Three patients with chest pain and “normal” ECGs: which had OMI? Which were normal? And how did the Queen of Hearts perform?

Written by Jesse McLaren Three patients presented with acute chest pain and ECGs that were labeled by the computer as completely normal, and…

5 Min Read

Jesse McLaren

onFebruary 9, 2024

Chest pain with anterior ST depression: look what happens if you use posterior leads.

Don’t forget to watch the Webinar: Smith and Pendell Meyers interpret ECGs for OMI or not OMI on Monday Feb 12 at 11 AM U.S.…

9 Min Read

Jesse McLaren

onJanuary 27, 2024

Chest pain and a computer ‘normal’ ECG. Therefore, there is no need for a physician to look at this ECG.

Written by Jesse McLaren, comments by Smith A 55 year old with a history of NSTEMI presented with two hours of exertional chest pain, with…

9 Min Read

Jesse McLaren

onJanuary 17, 2024

Two patients with chest pain, with QRS obscured: which was STEMI positive, and which had Occlusion MI?

Written by Jesse McLaren Two patients presented with acute chest pain, and below are the precordial leads V1-6 for each. Patient 1 (ECG…

7 Min Read

Jesse McLaren

onDecember 30, 2023

50-year old with chest pain, “no ischemic changes”

Written by Jesse McLaren A previously healthy 50 year-old presented with 24 hours of intermittent exertional chest pain, radiating to…

7 Min Read

Jesse McLaren

onNovember 27, 2023

Chest pain and new regional/reciprocal ECG changes compared to previous ECGs: code STEMI?

Written by Jesse McLaren A 45 year old presented with two weeks of recurring non-exertional chest pain, now constant for an hour.…

8 Min Read

Jesse McLaren

onOctober 19, 2023

Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?

Written by Jesse McLaren Four patients presented with chest pain. All initial ECGs were labeled ‘normal’ or ‘otherwise normal’ by the computer…

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Dr. Smith's ECG Blog

Jesse McLaren

Chest pain: Are these really “Nonspecific ST-T wave abnormalities”, as the cardiologist interpretation states?

Two patients with diffuse ST depression and reciprocal ST elevation in aVR: do either/both/neither have Occlusion MI?

Is OMI an ECG Diagnosis?

Three patients with chest pain and “normal” ECGs: which had OMI? Which were normal? And how did the Queen of Hearts perform?

Chest pain with anterior ST depression: look what happens if you use posterior leads.

Chest pain and a computer ‘normal’ ECG. Therefore, there is no need for a physician to look at this ECG.

Two patients with chest pain, with QRS obscured: which was STEMI positive, and which had Occlusion MI?

50-year old with chest pain, “no ischemic changes”

Chest pain and new regional/reciprocal ECG changes compared to previous ECGs: code STEMI?

Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?