Category: Dr. Smith’s ECG Blog

Idiopathic Ventricular Tachycardias for the EM Physician

Written by Pendell Meyers, reviewed by Steve Smith and Scott Weingart “Idiopathic ventricular tachycardias” refer to a group of tachydysrhythmias originating below the AV node and bundle of His but differing in etiology, prognosis, and treatment compared to classic ventricular tachycardia (VT). The name “idiopathic” is becoming more and more inappropriate, as various specific subgroups

New Article published online: In inferior myocardial infarction, neither ST elevation in lead V1 nor ST depression in lead I are reliable findings for the diagnosis of right ventricular infarction

Bischof, JE.  Worrall C.  Smith SW.  In inferior myocardial infarction, neither ST elevation in lead V1 nor ST depression in lead I are reliable findings for the diagnosis of right ventricular infarction.  Journal of Electrocardiology 51(6):977-980; November-December 2018. Powered by WPeMatico

A Tale of 2 Occlusions in the Same Patient: one with Expert ECG interpretation, the Other Without

Submitted by Nic Thompson, Written by Pendell Meyers, edits by Steve Smith This is a long post, but well worth the read because it clearly delineates the difference in patient outcomes between advanced ECG interpretation and STEMI criteria! Dr. Thompson evaluated a male in his 40s with history of CAD s/p MI with PCI years

Total eclipse of the heart

Written by Pendell Meyers A male in his late 50s had sudden chest pain radiating to the left side and back, with nausea and diaphoresis as well as bilateral finger tingling sensation. He drove himself to the Emergency Department. Here is his ECG on arrival at 11:33 am (unclear whether pain was persistent at this