Category: Dr. Smith’s ECG Blog

24 minute lecture: The False STEMI Non-STEMI Dichotomy from SMACC-Chicago: now online again

This is a lecture I gave it at Social Media and Critical Care Conference in Chicago (SMACC-Chicago) in June 2015. It’s title for the conference was “Myocardial Infarctions you must not miss!” This Lecture is more aptly entitled: The False STEMI Non-STEMI Dichotomy. The lecture had been offline for a while, but is back up!! There

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 Subtle LAD Occlusion 4 Cases Discussing Terminal QRS Distortion in Diagnosis of Anterior MI The paramedic crew of Rick Morton and Kim Baker, of Ambulance Victoria in Australia, took care of this patient.  Their friend Shane

ST elevation in aVL with reciprocal ST depression in the inferior leads

Written by Pendell Meyers A male in his 50s with history of thyroid cancer was brought to the Emergency Department after being found minimally unresponsive with sonorous respirations on his couch at home. Blood glucose level was 76 mg/dL. EMS administered naloxone, which was followed quickly by hyperventilation but no improvement in mental status. EMS

“This is not a Subtle ECG, right?”

A reader texted this ECG without any clinical information, with the question: “This is not a Subtle ECG, right?” My response:“No!  Activate!” The reader reported that this ECG was not recognized as abnormal and that he himself had found it at the doctor’s station shortly after it was recorded.  The reader was concerned about the