Uncategorized Archives - Page 104 of 187

5 Min Read

onJanuary 28, 2018

Is this ECG diagnostic of coronary occlusion? Also: Inferior de Winter’s T-waves on prehospital ECG??

This post was written by one of our fantastic Hennepin County Medical Center Emergency Medicine interns who is an ECG whiz, Daniel Lee. A man…

8 Min Read

Pendell Meyers

onJanuary 26, 2018

Our patients deserve better than the “STEMI criteria”

Written by Pendell Meyers, of the Stony Brook class of 2019, with edits by Steve Smith Two Cases Imagine that two patients present…

2 Min Read

Steve Smith

onJanuary 24, 2018

A 40-something male with epigastric pain

A 40-something male presented with epigastric pain. An ECG was recorded immediately (time zero): This was texted to me asking for my opinion.…

6 Min Read

Steve Smith

onJanuary 22, 2018

Chest pain, sinus tachycardia, and ST Elevation

I was reading through ECGs on the system when I saw this one: Sinus tachycardia, rate 120 Computerized QTc = 380 ms What do you think? I…

5 Min Read

Steve Smith

onJanuary 20, 2018

A middle-aged man with severe syncope, diffuse weakness

A middle-aged male diabetic who is otherwise healthy was found unconscious by his wife, with incontinence. He quickly awoke but was too…

3 Min Read

Steve Smith

onJanuary 17, 2018

I was texted this ECG: “Middle-aged male with Prehospital Cath Lab Activation”

A physician caring for his new arrival, a 50-something with acute chest pain and dyspnea and syncope, texted me this initial ED ED ECG. The…

Steve Smith

onJanuary 14, 2018

24 minute lecture: The False STEMI Non-STEMI Dichotomy from SMACC-Chicago: now online again

This is a lecture I gave it at Social Media and Critical Care Conference in Chicago (SMACC-Chicago) in June 2015. It’s title for the…

Steve Smith

onJanuary 12, 2018

Lecture, updated: Subtle ECG Findings of LAD Occlusion

This was recorded at a lecture I gave at Controversies and Consensus in Emergency Medicine in Northamptom MA. This newly posted lecture is…

2 Min Read

Steve Smith

onJanuary 11, 2018

Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics

For more on Terminal QRS distortion, see these posts: Best Explanation of Terminal QRS Distortion in Diagnosis of Electrocardiographically…

3 Min Read

Steve Smith

onJanuary 8, 2018

High ST Elevation in a Patient with Acute Chest Pain

I was shown this ECG of a 50-something with acute chest pain: What do you think? I replied that this ST Elevation in precordial leads was…

What are You Looking For?

Dr. Smith's ECG Blog

Uncategorized

Is this ECG diagnostic of coronary occlusion? Also: Inferior de Winter’s T-waves on prehospital ECG??

Our patients deserve better than the “STEMI criteria”

A 40-something male with epigastric pain

Chest pain, sinus tachycardia, and ST Elevation

A middle-aged man with severe syncope, diffuse weakness

I was texted this ECG: “Middle-aged male with Prehospital Cath Lab Activation”

24 minute lecture: The False STEMI Non-STEMI Dichotomy from SMACC-Chicago: now online again

Lecture, updated: Subtle ECG Findings of LAD Occlusion

Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics

High ST Elevation in a Patient with Acute Chest Pain