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8 Min Read

onJanuary 19, 2026

Acute chest pain in a 50-something: resolves, recurs, resolves: Does the ED ECG show “Early Repol”?

My city of Minneapolis is being attacked and occupied by ICE right now and it is very frightening and anxiety provoking, especially for anyone…

5 Min Read

Pendell Meyers

onFebruary 2, 2025

Sometimes a patient is fortunate to have a cardiac arrest

Written by Pendell Meyers A man in his 60s presented with acute chest pain. Here is his triage ECG: What do you think? There is sinus…

6 Min Read

Steve Smith

onSeptember 7, 2024

An elderly male with shortness of breath

A 70-something y.o. male presents to triage with shortness of breath. He reports significant chest pain at the base of his scapula on…

9 Min Read

Steve Smith

onNovember 1, 2022

Opiate overdose, without chest pain or shortness of breath. Cognitive dissonance.

I was reading EKGs on the system and saw this one….. What did I put in as my interpretation? Interpretation: “Acute LAD occlusion…

7 Min Read

Steve Smith

onFebruary 4, 2022

This ECG was interpreted as completely NORMAL by the computer: What about it is THE critical finding??

A 40 something otherwise healthy man presented with substernal chest pain. It had occurred once 3 days prior and resolved without any…

5 Min Read

Pendell Meyers

onAugust 19, 2021

A 60 year old man with chest pain — many fascinating aspects to this ECG

Written and submitted by Lucas Goss MD, peer reviewed by Smith, Meyers, Bracey A 60-year old man with history of CAD and prior stents to the…

9 Min Read

Pendell Meyers

onOctober 26, 2020

Fascinating case of dynamic shark fin morphology – what is going on?

Case submitted by Magnus Nossen MD from Norway, written by Pendell Meyers A man in his 50s with no pertinent medical history suffered a…

6 Min Read

Steve Smith

onSeptember 22, 2019

A 40-something healthy male with transient chest squeezing

A 40-something man with Hx of treated HTN had chest “squeezing,” with SOB and diaphoresis, 10 hours prior to presentation. It…

7 Min Read

Pendell Meyers

onJuly 28, 2018

Prehospital OMI recognized immediately by a fantastic paramedic

Written by Pendell Meyers, edits by Steve Smith This case was sent by a paramedic who wishes to remain anonymous. “The enclosed case…

2 Min Read

Steve Smith

onJanuary 11, 2018

Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics

For more on Terminal QRS distortion, see these posts: Best Explanation of Terminal QRS Distortion in Diagnosis of Electrocardiographically…

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Dr. Smith's ECG Blog

terminal QRS distortion

Acute chest pain in a 50-something: resolves, recurs, resolves: Does the ED ECG show “Early Repol”?

Sometimes a patient is fortunate to have a cardiac arrest

An elderly male with shortness of breath

Opiate overdose, without chest pain or shortness of breath. Cognitive dissonance.

This ECG was interpreted as completely NORMAL by the computer: What about it is THE critical finding??

A 60 year old man with chest pain — many fascinating aspects to this ECG

Fascinating case of dynamic shark fin morphology – what is going on?

A 40-something healthy male with transient chest squeezing

Prehospital OMI recognized immediately by a fantastic paramedic

Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics