Heartfelt Reflections: Stories of Love, Loss, and Growth

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7 Min Read

Pendell Meyers

onSeptember 20, 2019

Teach your learners: when the QRS is wide, the J-point will hide, so trace it down and copy it over!

Case submitted by Alexis Cates, written by Pendell Meyers A middle aged man with history of HTN, DM, and VSD repair at age 6, presented to the…

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troponin

7 Min Read

Steve Smith

onSeptember 18, 2019

Unusual: Troponin Trajectory to Help Determine Ongoing/Recurrent Infarction vs. Completed Infarction.

A 40-something male with no PMH of any kind presented to urgent care on a weekend (cath team is at home) with cough starting 2…

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5 Min Read

Steve Smith

onSeptember 12, 2019

Chest pain, pelvic and abdominal pain, hypotension, and severe ischemia on the ECG

An elderly male was lethargic at the nursing home and complained of some pelvic pain, but then also chest pain and abdominal pain. He…

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6 Min Read

Pendell Meyers

onSeptember 8, 2019

Do you recognize this ECG yet?

Case contributed by Dr. David Gordon See if you can recognize this ECG without the clinical context: Sinus tachycardia Wide QRS Terminal…

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6 Min Read

Pendell Meyers

onSeptember 2, 2019

What is the differential of this very unusual ECG?

Take a look at this ECG first without clinical context: = = = What do you think? = = = = = = There is sinus bradycardia with very unusual…

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7 Min Read

Pendell Meyers

onAugust 26, 2019

An ECG sent to me with concern for hyperacute T-waves

Written by Pendell Meyers A woman in her 70s with diabetes, hypertension, and hyperlipidemia suddenly developed nausea, diaphoresis, and brief…

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Steve Smith

onAugust 23, 2019

Editorial by Meyers and Smith, full text: Prospective, real-world evidence showing the gap between ST elevation myocardial infarction (STEMI) and occlusion MI (OMI)

Read this full text article on the OMI paradigm, from International Journal of Cardiology: Prospective, real-world evidence showing the gap…

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5 Min Read

Steve Smith

onAugust 20, 2019

Elderly with Paced Rhythm, Possible Ischemic symptoms, and an Equivocal Smith Modified Sgarbossa ECG

An 80 year old presented with a couple days of SOB, weakness, and diaphoresis. There was no chest pain. Here was her initial ECG: — What…

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5 Min Read

Steve Smith

onAugust 17, 2019

Acute Chest pain in a 50-something, and a “Normal” ECG

Chris Mondie of the Newark Beth Israel Emergency Medicine Residency sent this case A 50-something man presented with acute…

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4 Min Read

Pendell Meyers

onAugust 15, 2019

5 Cardiologists said this is not a STEMI. But was it an OMI?

Written by Pendell Meyers A male in his early 50s presented with waxing and waning chest pain starting at rest. He had multiple cardiovascular…

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Dr. Smith's ECG Blog

Heartfelt Reflections: Stories of Love, Loss, and Growth

Teach your learners: when the QRS is wide, the J-point will hide, so trace it down and copy it over!

Unusual: Troponin Trajectory to Help Determine Ongoing/Recurrent Infarction vs. Completed Infarction.

Chest pain, pelvic and abdominal pain, hypotension, and severe ischemia on the ECG

Do you recognize this ECG yet?

What is the differential of this very unusual ECG?

An ECG sent to me with concern for hyperacute T-waves

Editorial by Meyers and Smith, full text: Prospective, real-world evidence showing the gap between ST elevation myocardial infarction (STEMI) and occlusion MI (OMI)

Elderly with Paced Rhythm, Possible Ischemic symptoms, and an Equivocal Smith Modified Sgarbossa ECG

Acute Chest pain in a 50-something, and a “Normal” ECG

5 Cardiologists said this is not a STEMI. But was it an OMI?