Heartfelt Reflections: Stories of Love, Loss, and Growth

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13 Min Read

Jesse McLaren

onApril 22, 2022

Chest pain, a ‘normal’ ECG, a ‘normal trop’, and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chest…

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5 Min Read

Steve Smith

onApril 20, 2022

What do you think when you see ST elevation or ST depression on the monitor? (A lesson on High Pass filtering from Christopher Watford)

This has an explanation from Christopher Watford, who is not only a paramedic with amazing EKG skills, but a math and computer wizard. …

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6 Min Read

Steve Smith

onApril 17, 2022

What is this ST Elevation?

This patient was sent to the ED because of a potassium of 6.1 mEq/L and some acute renal insufficiency. He had an ECG recorded: This was…

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5 Min Read

Pendell Meyers

onApril 15, 2022

A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis “NSTEMI”. This happens far too often.

Submitted by Anonymous MD, edits by Meyers A man in his 60s with past medical history of multiple sclerosis and hypertension was brought in by…

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10 Min Read

Pendell Meyers

onApril 13, 2022

A man in his 50s with acute chest pain and history of prior MI

Written by Pendell Meyers A man in his 50s with prior history of anterior MI with LAD stent presented with acute chest pain similar but more…

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6 Min Read

Steve Smith

onApril 11, 2022

RBBB with STE in I and aVL. Will the angiogram tell you if this ECG represents Occlusion MI or not?

A middle aged male with history of STEMI and stents presented with one hour of chest pain. Here is his ED ECG: What do you think? Analysis:…

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10 Min Read

Pendell Meyers

onApril 8, 2022

A woman in her 30s with sudden chest pain, nausea, and diaphoresis. Was her cardiology management appropriate?

Case written and submitted by Brandon Fetterolf MD, edits by Meyers. = = = A woman in her early 30s with multiple autoimmune disorders…

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WPW mimicking ischemia

4 Min Read

Steve Smith

onApril 5, 2022

Diffuse ST Depression, with ST Elevation in aVR. Do you see the diagnosis?

This was texted to me from 2000 miles away. It is from a 30-something male with chest pain. There was worry for ischemia.…

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13 Min Read

Pendell Meyers

onApril 2, 2022

An asymptomatic man in his 50s with heart rate in the 160s – what is the diagnosis? How will you manage this?

Written by Pendell Meyers A man in his late 50s with history of CAD with CABG, COPD, smoking, cirrhosis, and other comorbidities…

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10 Min Read

Jesse McLaren

onMarch 31, 2022

Chest pain + troponin of 1600 + LBBB + 6mm ST elevation = occlusion MI, right?

This case is by Jesse McLaren (@ECGCases), with comments by Smith and Grauer A 50 year-old with CAD and ESRD went to their regular…

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Dr. Smith's ECG Blog

Heartfelt Reflections: Stories of Love, Loss, and Growth

Chest pain, a ‘normal’ ECG, a ‘normal trop’, and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

What do you think when you see ST elevation or ST depression on the monitor? (A lesson on High Pass filtering from Christopher Watford)

What is this ST Elevation?

A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis “NSTEMI”. This happens far too often.

A man in his 50s with acute chest pain and history of prior MI

RBBB with STE in I and aVL. Will the angiogram tell you if this ECG represents Occlusion MI or not?

A woman in her 30s with sudden chest pain, nausea, and diaphoresis. Was her cardiology management appropriate?

Diffuse ST Depression, with ST Elevation in aVR. Do you see the diagnosis?

An asymptomatic man in his 50s with heart rate in the 160s – what is the diagnosis? How will you manage this?

Chest pain + troponin of 1600 + LBBB + 6mm ST elevation = occlusion MI, right?