Uncategorized Archives - Page 62 of 187

3 Min Read

onMarch 1, 2021

Chest pain with ventricular paced rhythm – will you be able to rise above the STEMI paradigm and figure out what to do?

Submitted by Marie Wofford MD and Mark Kastner MD, edits by Smith and Meyers An 86 year old with prior history of CAD and PCI, aortic…

3 Min Read

Pendell Meyers

onFebruary 27, 2021

When there is less than 1 mm of ST depression, can you make the diagnosis of posterior OMI?

Submitted and written by Alex Bracey MD, edits by Smith and Meyers I went to see the next patient who had presented to the Emergency…

6 Min Read

Steve Smith

onFebruary 26, 2021

Saw this ECG while reading through a stack. Lots here: myocardial stunning, MRI viability, P2Y12 inhibitors and CABG.

I had just finished passing the shift off to my partner and the next shift of residents. It was 11:30 PM. I turned to…

atrial repolarization wave

2 Min Read

Steve Smith

onFebruary 23, 2021

Sudden CP and SOB with Inferior ST Elevation and in STE in V1. Is it inferior and RV OMI?

A 60-something had been having chest “soreness” on and off for one month when she presented with sudden chest discomfort and…

4 Min Read

Steve Smith

onFebruary 16, 2021

A 30-something with inferior ST Elevation. OMI? Pericarditis? Normal Variant ST Elevation?

This ECG was texted to me with the information that it was recorded on a 30-something male who presented to the ED with bilateral chest…

8 Min Read

Pendell Meyers

onFebruary 14, 2021

A man in his early 40s with chest pain: STD in V1-V4, but posterior lead are negative

Written by Pendell Meyers A man in his early 40s with hyperlipidemia and family history of MI presented at 545 AM with acute onset substernal…

9 Min Read

Steve Smith

onFebruary 12, 2021

What to do when Atrial Fib with RVR will not Electrically Cardiovert. And how do you measure the QT in Atrial Fib?

This middle-aged male patient has a history of paroxysmal atrial fibrillation, and on this day of admission had sudden onset of palpitations…

3 Min Read

Steve Smith

onFebruary 9, 2021

A 50-something with cocaine chest pain and ST Elevation in V1 – V3

This case was expertly managed by Aaron Robinson (https://twitter.com/ARobinsonMD), one of our Hennepin EMS fellows, and by Danika Evans, a…

1 Min Read

Steve Smith

onFebruary 6, 2021

A 60 year old with chest pain

I saw this in a stack of ECGs and recognized it immediately. What do you think? There is ST depression in the context of a normal…

3 Min Read

Pendell Meyers

onFebruary 2, 2021

Another diagnostic ECG of a potentially deadly condition

Written by Pendell Meyers A middle aged woman with no significant past medical history presented with epigastric abdominal pain with…

What are You Looking For?

Dr. Smith's ECG Blog

Uncategorized

Chest pain with ventricular paced rhythm – will you be able to rise above the STEMI paradigm and figure out what to do?

When there is less than 1 mm of ST depression, can you make the diagnosis of posterior OMI?

Saw this ECG while reading through a stack. Lots here: myocardial stunning, MRI viability, P2Y12 inhibitors and CABG.

Sudden CP and SOB with Inferior ST Elevation and in STE in V1. Is it inferior and RV OMI?

A 30-something with inferior ST Elevation. OMI? Pericarditis? Normal Variant ST Elevation?

A man in his early 40s with chest pain: STD in V1-V4, but posterior lead are negative

What to do when Atrial Fib with RVR will not Electrically Cardiovert. And how do you measure the QT in Atrial Fib?

A 50-something with cocaine chest pain and ST Elevation in V1 – V3

A 60 year old with chest pain

Another diagnostic ECG of a potentially deadly condition