Dr. Smith's ECG Blog

Instructive ECGs in Emergency Medicine Clinical Content

Associate Editors:
— Pendell Meyers & Ken Grauer (2018)
— Jesse McLaren & Emre Aslanger (2022)
— Willy Frick (2024) — Sam Ghali (2025)

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Cardiac Arrest, from Ventricular Fibrillation.

The computerized QTc is 472, but the actual QTc is well over 600 ms. The T-waves are almost like a sine wave, and there are very prominent U-waves, best seen in precordial leads. These findings are pathognomonic of hypokalemia, and this was indeed the etiology of the cardiac arrest.

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Atypical Left Bundle Branch with acute RCA occlusion

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