Heartfelt Reflections: Stories of Love, Loss, and Growth

Revision Welcomes to ultimate source for fresh perspectives! Explore curated content to enlighten, entertain and engage global readers.

3 Min Read

Steve Smith

onJanuary 8, 2021

Acute chest pain, ST Depression in V2 and V3, relief with Nitroglycerine, “normal” coronaries, and apical ballooning. Is it takotsubo?

This was submitted by Michael Fischer, one of our outstanding 2nd year EM residents at Hennepin Healthcare. Case A previously healthy female…

Discover More

5 Min Read

Steve Smith

onJanuary 4, 2021

ECG with Aslanger’s Pattern. CT Pulmonary Angiogram Reveals LAD Ischemia (Septal Transmural). But this is not Contradictory.

A 52 y.o. male presented with persistent central chest pressure, without radiation, SOB or diaphoresis, which began at rest approximately one…

Discover More

4 Min Read

Pendell Meyers

onDecember 30, 2020

Chest pain after motor vehicle collision with an abnormal ECG – blunt cardiac injury? OMI? normal variant?

Submitted and written by Morgan Penzler MD, with edits by Pendell Meyers A man in his early 40s with no significant past medical history was…

Discover More

4 Min Read

Pendell Meyers

onDecember 26, 2020

A 50 year old man with sudden altered mental status and inferior STE. Would you give lytics? Yes, but not because of the ECG!

Submitted by Alex Bracey, written by Pendell Meyers A man in his 50s was hunting with a friend when he suddenly “fell out”…

Discover More

Posterior STEMI vs. Subendocardial ischemia

6 Min Read

Steve Smith

onDecember 23, 2020

ST Depression Maximal in V1-V4 and Angio shows 3 Vessel Disease. Is it posterior? Which is the culprit?

A 70-something woman had acute chest pain. The ECG was texted to me with the words: “Acute chest pain. Could this be posterior MI? What…

Discover More

Ventricular Tachycardia due to Hyperkalemia

2 Min Read

Steve Smith

onDecember 21, 2020

Bradycardia, Crushing Chest pain, and Pulseless VT Arrest

A 50-something woman with h/o hypertension and hyperaldostonism presented with severe crushing chest pain and bradycardia. EMS found the…

Discover More

2 Min Read

Pendell Meyers

onDecember 18, 2020

A woman with near-syncope, bradycardia, and hypotension

Written by Pendell Meyers A 59-year-old woman with diabetes, hypertension, prior stroke, and peripheral vascular disease presented with…

Discover More

4 Min Read

Steve Smith

onDecember 16, 2020

Extreme widespread ST depression, with ST Elevation in aVR. What do you think?

I was texted this ECG without any other information. The question was posed: “Activate the cath lab?” What do you…

Discover More

4 Min Read

Steve Smith

onDecember 14, 2020

A 45 year old smoker presents with palpitations, is discharged, and is found dead 2 days later

A 45 year old smoker presented with palpitations. He had no other medical problems. There was no syncope. He was on no…

Discover More

4 Min Read

Steve Smith

onDecember 10, 2020

“Pay me now, or pay me later”

This patient presented with acute pulmonary edema without chest pain. A bit of history prior to showing the ECG: The patient had been…

Discover More

What are You Looking For?

Dr. Smith's ECG Blog

Heartfelt Reflections: Stories of Love, Loss, and Growth

Acute chest pain, ST Depression in V2 and V3, relief with Nitroglycerine, “normal” coronaries, and apical ballooning. Is it takotsubo?

ECG with Aslanger’s Pattern. CT Pulmonary Angiogram Reveals LAD Ischemia (Septal Transmural). But this is not Contradictory.

Chest pain after motor vehicle collision with an abnormal ECG – blunt cardiac injury? OMI? normal variant?

A 50 year old man with sudden altered mental status and inferior STE. Would you give lytics? Yes, but not because of the ECG!

ST Depression Maximal in V1-V4 and Angio shows 3 Vessel Disease. Is it posterior? Which is the culprit?

Bradycardia, Crushing Chest pain, and Pulseless VT Arrest

A woman with near-syncope, bradycardia, and hypotension

Extreme widespread ST depression, with ST Elevation in aVR. What do you think?

A 45 year old smoker presents with palpitations, is discharged, and is found dead 2 days later

“Pay me now, or pay me later”