tag:blogger.com,1999:blog-549949223388475481.post7830436699736367505..comments2024-03-28T14:02:08.119-05:00Comments on Dr. Smith's ECG Blog: An 18 year old with chest pain and diffuse ST ElevationUnknownnoreply@blogger.comBlogger6125tag:blogger.com,1999:blog-549949223388475481.post-41822761452861335152020-09-15T21:32:35.468-05:002020-09-15T21:32:35.468-05:00@ Tim K — Reasons why ECG #1 does not suggest acut...@ Tim K — Reasons why ECG #1 does not suggest acute PE to me are: i) No tachycardia; ii) No ECG findings of RV “strain” (ie, no right axis, no RAA, no ST-T depression in inferior and/or anterior leads, no tall R in V1, no persistent precordial S waves); and iii) The tracing looks like a repolarization variant in a young adut with a lot of voltage.ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-13285712656934823652020-09-14T19:16:38.373-05:002020-09-14T19:16:38.373-05:00Wouldn’t another differential diagnosis be pulmona...Wouldn’t another differential diagnosis be pulmonary embolism? If not, why not? <br />I seem to recall it being mentioned in the case as an example, but I may have misunderstood.<br /><br />Thank you<br />Tim KTim Khttps://www.blogger.com/profile/05274982836997670936noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-69033331183433287462020-09-13T11:05:24.415-05:002020-09-13T11:05:24.415-05:00@ Elyar. Drs. Smith & Meyers often comment on ...@ Elyar. Drs. Smith & Meyers often comment on their bedside Echos in this Blog. Regarding other recommendations for "Echo Cases" — Dr. Smith's favorite is by Mike and Matt at ultrasound podcast (https://www.ultrasoundpodcast.com/category/podcast/ ). Another that Dr. Meyers recommends = https://www.emergencyultrasoundteaching.com/cases.html . I'll add that simple search on Google for "Echo Cases" brings forth a large number of links — but you'd have to check each of these out to see if they provide what it is you are looking for. BEST of LUCK — and hope the above is helpful — :)ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-71385606020767068362020-09-12T03:20:26.335-05:002020-09-12T03:20:26.335-05:00Hello. Aside from the topic, could you please reco...Hello. Aside from the topic, could you please recommend to me a blog about detailed echocardiography cases like this ECG blog? Reading echo textbooks doesn't help as much as discussed echo cases as this ECG blog helped me so much in understandig a lot of concepts in ECG. Thanks.Elyar Zeynalovhttps://www.blogger.com/profile/18182192838388991397noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-4430407295216522832020-09-11T13:30:18.998-05:002020-09-11T13:30:18.998-05:00@ Subhasish — No, the purpose of the ST-T Ratio is...@ Subhasish — No, the purpose of the ST-T Ratio is to distinguish between acute pericarditis and a repolarization variant. That said, as per my discussion — we are dealing with a differential diagnosis of 3 things = acute MI - repol variant - pericarditis. Hopefully my discussion provides a rationale for why I thought this case to most likely reflect a repolarization variant in a patient with LOTS of QRS amplitude in many leads! — :)ECG Interpretationhttps://www.blogger.com/profile/02309020028961384995noreply@blogger.comtag:blogger.com,1999:blog-549949223388475481.post-32427427132388089752020-09-11T08:49:50.703-05:002020-09-11T08:49:50.703-05:00Doesn't the st-t ratio differentiate acute per...Doesn't the st-t ratio differentiate acute pericarditis from stemi? Subhasish Singh herehttps://www.blogger.com/profile/18022600313880536118noreply@blogger.com