Category: Dr. Smith’s ECG Blog

A 30-something woman with chest pain and h/o pulmonary hypertension due to chronic pulmonary emboli

A 30-something woman with known history of pulmonary hypertension due to chronic pulmonary emboli presented with 12 hours of substernal chest pain. Here was her ED ECG: What do you think? This precordial T-wave inversion is typical of right ventricular hypertrophy (RVH).  However, most other features of RVH are not present.  There is an incomplete

A 54 yo male with sudden chest pain. Computer says normal. Paramedic disagrees.

Announcement! There is now an Android app for the 3- and 4-variable formulas. It is of course free (#FOAMed).  It was written by Yannick Schäfer (a medical student in France):https://play.google.com/store/apps/details?id=com.SMITH490.ecg_smith Remember there is also an iPhone app called “SubtleSTEMI”https://itunes.apple.com/us/app/subtlestemi/id617146818?mt=8 Case This was sent by a very astute paramedic. A 54 year old male came to