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4 Min Read

ECG Interpretation

onJuly 28, 2020

A Woman with New Dyspnea. Is the extreme left axis deviation, with negative T-wave in lead III, suggestive of RV strain?

=================================== MY Comment by KEN GRAUER, MD (7/28/2020): =================================== The ECG…

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6 Min Read

Steve Smith

onJuly 26, 2020

Prehospital ECG of a 50-something male with Syncope and Chest Pain

This case was sent by an excellent medic: A 50-something yo male started to chop wood when he experienced a short syncopal episode followed by…

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7 Min Read

Pendell Meyers

onJuly 24, 2020

A Complication of the COVID Era

Submitted and written by Gia Coleman MD and Roshan Givergis DO, edits by Meyers and Smith A woman in her 30s was found crawling in the…

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Steve Smith

onJuly 22, 2020

Updated 1 hour lecture: The False STEMI-NonSTEMI Dichotomy

I just gave this Grand Rounds at U Mass by Zoom on: The False STEMI – NonSTEMI Dichotomy. You can view the entire 1 hour lecture here:…

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Steve Smith

onJuly 22, 2020

Subtle ECG Findings of Left Anterior Descending Artery (LAD) Occlusion — LAD Occlusion MI (OMI)

I just gave this Zoom lecture to U Mass on Subtle ECG Findings of Left Anterior Descending Artery (LAD) Occlusion — LAD Occlusion…

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9 Min Read

Steve Smith

onJuly 21, 2020

A case of misinterpreted troponins, in spite of a very suspicious ECG….

This 50-something male with previous history of MI presented for intermittent CP and SOB for 2 days. CP lasted for hours at a time,…

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12 Min Read

Pendell Meyers

onJuly 19, 2020

What is a useful next step in the evaluation of this patient with Chest pain and this ECG?

Written by Pendell Meyers, submitted by Daryl Williams, edits by Steve Smith A man in his sixties with prior CAD and CABG experienced chest…

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6 Min Read

ECG Interpretation

onJuly 15, 2020

Chest Pain and Ischemic ST Depression — but there is no Cath Lab available. Thrombolytics?

=================================== MY Comment by KEN GRAUER, MD (7/14/2020): =================================== This middle-aged…

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12 Min Read

Pendell Meyers

onJuly 12, 2020

A young woman in her early 20s with syncope

Written by Pendell Meyers A 20 year old female with an episode of syncope was triage to my low acuity zone one morning. Her vitals were within…

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5 Min Read

Steve Smith

onJuly 9, 2020

Chest pain and Inferior T-wave Inversion. Does this patient need emergent cath lab activation?

This ECG was texted to me, initially with no information: What do you think? There are QS-waves in III and aVF. There is a qR in lead…

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Dr. Smith's ECG Blog

Heartfelt Reflections: Stories of Love, Loss, and Growth

A Woman with New Dyspnea. Is the extreme left axis deviation, with negative T-wave in lead III, suggestive of RV strain?

Prehospital ECG of a 50-something male with Syncope and Chest Pain

A Complication of the COVID Era

Updated 1 hour lecture: The False STEMI-NonSTEMI Dichotomy

Subtle ECG Findings of Left Anterior Descending Artery (LAD) Occlusion — LAD Occlusion MI (OMI)

A case of misinterpreted troponins, in spite of a very suspicious ECG….

What is a useful next step in the evaluation of this patient with Chest pain and this ECG?

Chest Pain and Ischemic ST Depression — but there is no Cath Lab available. Thrombolytics?

A young woman in her early 20s with syncope

Chest pain and Inferior T-wave Inversion. Does this patient need emergent cath lab activation?