Dr. Smith's ECG Blog
Instructive ECGs in Emergency Medicine Clinical Context
Wednesday, June 21, 2017
Patient presentation is important, and so is R-wave amplitude
Two Histories, One ECG Story number one: An athletic 20-something presents with chest pain and has this ECG at triage: QTc = 362 ms...
Monday, June 19, 2017
de Winter's T-waves evolve into Wellens' waves
This comes from a paramedic in Hungary named Farkas László: This patient had chest pain that then resolved: There is diffuse ST dep...
Saturday, June 17, 2017
Slightly Peaked T-waves. What is it?
I saw this as I was reading a large a stack of ECGs: What do you think? There is sinus tachycardia. The T-waves ar...
Wednesday, June 14, 2017
An adolescent with trauma, chest pain, and a wide complex rhythm
This case was sent by Dr Avinash Krishnamurthy, a fine emergency medicine resident from Australia Cairns base hospital Case : An a...
Monday, June 12, 2017
Should Emergency Physicians be interrupted by ECGs that are read as "Normal" by the computer?
Here was a comment on Facebook about this post: "I was hoping this post would let me off the hook for all those "normal ekg&quo...
Saturday, June 10, 2017
A patient with shortness of breath
This 50-something with a history of alcohol abuse complained of 2 weeks of increasing dyspnea for 2 weeks, with some chest pain and cough. ...
Sunday, June 4, 2017
Huge ST Elevation in V2 and V3. What is it?
A 30-something presented with methamphetamine use and agitation. He was sedated, then had an ECG as part of his workup: He was stabi...
Thursday, June 1, 2017
ST Elevation in I and aVL, with reciprocal ST depression in lead III
This ECG was texted to me with no clinical information: What do you think? Here is my response: "This EKG l...
Monday, May 29, 2017
Chest Pain Diagnosed as Gastroesophageal Reflux
A 50-something male presented to a clinic for one day of intermittent substernal chest and jaw pain. He had had several episodes ...
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