Extreme Bradycardia: a Case-Based Lesson in Pacing
I tell the residents: “The pacemaker is just common sense: if there is no beat, it provides one; if there is one, it keeps itself from…
10th Anniversary of Dr. Smith’s ECG Blog: First Post was November 7, 2008
This was the first post 10 years ago today: ST depression: is it ischemia? No, hypokalemia. A bit of history: K. Wang formerly sent out a…
A young man with back spasms
Written by Pendell Meyers with edits by Steve Smith First see this ECG without clinical context: What do you see? Do you agree with the…
Chest Pain and Q-waves in V1 and V2. Is there previous septal MI?
A middle-aged woman presented with chest pain. She had no history of cardiac disease. She had this presenting ECG: There are Q-waves in…
Timing of revascularization in patients with transient STEMI: a randomized clinical trial
European Heart Journal, ehy651, https://doi.org/10.1093/eurheartj/ehy651 Published: 26 October 2018…
An elderly man with sudden cardiogenic shock, diffuse ST depressions, and STE in aVR
Written by Pendell Meyers 84 yo M with history of a “valve problem” presented for sudden onset chest pain and trouble breathing while eating…
Our residents are getting really good at this.
I was asked to look at this ECG in a patient with 30 minutes of acute onset of nausea and vomiting and perhaps some chest discomfort: First ED…
Is this a STEMI? No, not by definition! Why not? Why is this Important?
A 40-something male presented with dyspnea and left arm numbness, and perhaps some chest tightness, for 1 1/2 hours. Here is his triage ECG:…
A man in his 80s with chest pain
Written by Pendell Meyers A male in his 80s with history of colon cancer, HTN, and CAD with a newly placed LAD stent approximately 1 month…
Anterior STEMI and multiform PVCs with Narrow Coupling Interval. When to give beta blockers in acute MI?
A middle-aged male had 45 minutes of chest discomfort and drove to the ED. He has a history of hyperlipidemia. No previous…