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Dr. K. Wang

2 Min Read

Steve Smith

onAugust 26, 2013

Pseudo Type II Second Degree AV Block Induced by Concealed Premature Junctional Complexes (PJCs) (contributed by K. Wang)

This patient is running on a treadmill: Figure 1. There are frequent apparently non-conducted p-waves. The PR interval is not…

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Steve Smith

onAugust 26, 2013

Instructions for using subtleSTEMI iPhone app

Some have asked for instructions in using the app: 1. The warning states that it should only be used when the…

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Steve Smith

onAugust 25, 2013

K. Wang Video: Aortic Dissection? STEMI? Both? (5 minute video)

This is a fine short summary of the topic. One disclaimer: At the end of the talk, K. states that ST segment depression in lead I in inferior…

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stress cardiomyopathy

4 Min Read

Steve Smith

onAugust 23, 2013

Diffuse ST elevation and Chest pain in an Agitated Middle-aged male: Anterior STEMI or Takotsubo Stress Cardiomyopathy?

A male in his 40’s was discharged from the ED after evaluation for chronic back pain. He was denied opiate medication and was very…

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2 Min Read

Steve Smith

onAugust 21, 2013

Chest Pain in a 61 year old male. Inferior STEMI without inferior ST elevation.

This 61 year old has a h/o CABG 20 years prior. Onset of chest pain 1 hour prior to calling 911. Here is the prehospital ECG:…

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1 Min Read

Steve Smith

onAugust 16, 2013

Right Bundle Branch Block with Biphasic Wave in lead V2?

A middle-age alcoholic presents with weakness and vague abdomimal discomfort. The patient’s previous ECG was from 4 years prior…

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Steve Smith

onAugust 15, 2013

All you could ever want to know about Wenckebach: K. Wang Video

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Steve Smith

onAugust 11, 2013

Repost from 2009 on Posterior STEMI

I was pleased to see the discussion of posterior MI come up on “Academic Life in Emergency Medicine”. However, the topic of…

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Dr. K. Wang

1 Min Read

Steve Smith

onAugust 11, 2013

What does this tracing show? (contributed by K. Wang)

I don’t have the clinical presentation, but the ECG is diagnostic on its own: See question and answer below What does this tracing show?…

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4 Min Read

Steve Smith

onAugust 1, 2013

Man in his 60’s with very subtle ECG and pain not controlled with medical therapy

A male in his 60’s presented 30 minutes after the onset of crushing substernal chest pain. Medics recorded 2 ECGs, one before and…

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Dr. Smith's ECG Blog

Heartfelt Reflections: Stories of Love, Loss, and Growth

Pseudo Type II Second Degree AV Block Induced by Concealed Premature Junctional Complexes (PJCs) (contributed by K. Wang)

Instructions for using subtleSTEMI iPhone app

K. Wang Video: Aortic Dissection? STEMI? Both? (5 minute video)

Diffuse ST elevation and Chest pain in an Agitated Middle-aged male: Anterior STEMI or Takotsubo Stress Cardiomyopathy?

Chest Pain in a 61 year old male. Inferior STEMI without inferior ST elevation.

Right Bundle Branch Block with Biphasic Wave in lead V2?

All you could ever want to know about Wenckebach: K. Wang Video

Repost from 2009 on Posterior STEMI

What does this tracing show? (contributed by K. Wang)

Man in his 60’s with very subtle ECG and pain not controlled with medical therapy