Uncategorized Archives - Page 59 of 184

2 Min Read

onApril 8, 2021

An 80-something with weakness, cough, and CP. Should this ECG provoke a Prehospital Cath Lab activation?

An 80-something called 911 for chest pain, generalized weakness, and cough. Here is his prehospital ECG: The medics were worried about this…

4 Min Read

Steve Smith

onApril 4, 2021

Paroxysmal Atrial Fibrillation with RVR, hypotension, volume depletion, good EF, AND pulmonary edema. Strange. Why? What to do?

A 30-something woman presented with a few days of feeling ill. She had a history of paroxysmal atrial fibrillation, bio-prosthetic…

1 Min Read

Steve Smith

onApril 2, 2021

Prehospital Cath Lab Activation for inferior STEMI — do you agree?

A 40-something male complained of 3 days of chest pressure. He called 911. He had some pulmonary edema and hypoxia. Here is the…

6 Min Read

Pendell Meyers

onMarch 30, 2021

A man in his 40s with a highly specific ECG

Case submitted by Charles Harris M.D. and Vitaliy Belyshev M.D., with edits by Pendell Meyers A 43 year old man with no reported past medical…

3 Min Read

Steve Smith

onMarch 28, 2021

Nonspecific symptoms with RBBB and New ST Elevation. Anterior STEMI, right? What does the echo show?

A 50-something male with a history of COPD and substance use disorder who presented with generalized weakness and exacerbation of chronic back…

5 Min Read

Steve Smith

onMarch 25, 2021

20-something with anxiety. Pulse is 169. Then 229. Then 169. Then 229. Latent conduction vs. Concealed Conduction. 3 Pathways.

A young woman in her third trimester of pregnancy had complained of panic attacks on multiple occasions. She presented to the ED…

3 Min Read

Steve Smith

onMarch 23, 2021

Does this ECG represent acute ischemia?

I was shown this ECG, without any clinical data: What do you think? My answer: “I think it is a baseline ECG, not ischemic.”…

2 Min Read

Pendell Meyers

onMarch 19, 2021

A man in his 50s with acute chest pain and diffuse ST depression

Submitted by Alex Bracey, with edits by Meyers and Smith A man in his 50s with history of type B aortic dissection with prior TEVAR…

2 Min Read

Steve Smith

onMarch 15, 2021

80-something year old with acute chest pain. 3 visits. Fascinating Ultrasound progression

An 80-something year old man with history of metastatic cancer had acute onset of chest pain and called 911. Here is his prehospital ECG: What…

2 Min Read

Brooks Walsh

onMarch 13, 2021

Trust a computer read of “Normal ECG” at your peril!

This case was contributed by Brooks Walsh, an emergency physician in Connecticut. Don’t trust the “Normal ECG” It’s…

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Dr. Smith's ECG Blog

Uncategorized

An 80-something with weakness, cough, and CP. Should this ECG provoke a Prehospital Cath Lab activation?

Paroxysmal Atrial Fibrillation with RVR, hypotension, volume depletion, good EF, AND pulmonary edema. Strange. Why? What to do?

Prehospital Cath Lab Activation for inferior STEMI — do you agree?

A man in his 40s with a highly specific ECG

Nonspecific symptoms with RBBB and New ST Elevation. Anterior STEMI, right? What does the echo show?

20-something with anxiety. Pulse is 169. Then 229. Then 169. Then 229. Latent conduction vs. Concealed Conduction. 3 Pathways.

Does this ECG represent acute ischemia?

A man in his 50s with acute chest pain and diffuse ST depression

80-something year old with acute chest pain. 3 visits. Fascinating Ultrasound progression

Trust a computer read of “Normal ECG” at your peril!