Heartfelt Reflections: Stories of Love, Loss, and Growth

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1 Min Read

Steve Smith

onFebruary 8, 2018

New paper by Smith: New Insights Into Use of the 12-Lead ECG for Diagnosing Acute MI in the Emergency Department

We just published this paper in the Canadian Journal of Cardiology. The February 2018 issue is on “Advances and Controversies in…

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2 Min Read

Steve Smith

onFebruary 8, 2018

Syncope and Prehospital Cath Lab Activation for Posterior STEMI

A middle-aged man had syncope. This ECG was recorded prehospital; here are the limb leads: What do you think? Notice that there are inverted…

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2 Min Read

Steve Smith

onFebruary 7, 2018

ST Elevation after Stab Wound to the Heart

A young man presented after a stab wound to the chest. Rapid ED diagnosis of cardiac penetrating trauma was made by ED ultrasound, and…

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3 Min Read

Steve Smith

onFebruary 5, 2018

Chest pain and a non-diagnostic ECG. No worries, right?

A middle-aged male complained of chest pain and called 911. 3 prehospital ECGs were recorded. Here is the time zero ECG: Just some…

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3 Min Read

Pendell Meyers

onFebruary 1, 2018

This ECG was shown to the doctor with no clinical information

Written by Pendell Meyers, with edits from Steve Smith I was charting at my computer on a busy overnight shift when a triage ECG was placed…

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3 Min Read

Steve Smith

onJanuary 30, 2018

Bizarre (Hyperacute??) T-waves

Thanks to one our great HCMC nurses, Ryan Burch. He figured this one out. A dialysis patient presented with dyspnea. He was a bit…

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5 Min Read

Steve Smith

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…

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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…

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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.…

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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…

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Dr. Smith's ECG Blog

Heartfelt Reflections: Stories of Love, Loss, and Growth

New paper by Smith: New Insights Into Use of the 12-Lead ECG for Diagnosing Acute MI in the Emergency Department

Syncope and Prehospital Cath Lab Activation for Posterior STEMI

ST Elevation after Stab Wound to the Heart

Chest pain and a non-diagnostic ECG. No worries, right?

This ECG was shown to the doctor with no clinical information

Bizarre (Hyperacute??) T-waves

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