Dr. Smith's ECG Blog
MARCH 2, 2009
reports MI in 2001 with a stent placed in the "marginal" artery. Here is the EKG at 1810: A repeat ECG 1 hour later is subtly changed, with some evolving T-wave inversion best seen in V5 and V6. Angiography and PCI were undertake 8 hours after the initial ECG and showed a completely occluded OM-1. Exam is unremarkable.
Dr. Smith's ECG Blog
DECEMBER 27, 2023
The following ECG was obtained. Note that the machine read is "normal sinus rhythm, normal ECG." ECG 1 What do you think? I sent this ECG to Dr. Smith and Dr. Meyers with no clinical context. Smith comment: this troponin alone should be enough data to activate the cath lab, regardless of the ECG. <0.049 ng/mL).
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Dr. Smith's ECG Blog
OCTOBER 23, 2023
An Initial ECG was performed: Initial ECG: Sinus tachycardia with prolonged QT interval (QTc of 534 ms by Bazett). A repeat ECG was performed 2 hours after arrival: QTc prolongation ato 722 ms now with alternating T wave pattern (T wave alternans) I texted this to Smith who responded: “T wave alternans and long QT. 2017.3191.
Dr. Smith's ECG Blog
OCTOBER 6, 2018
At 3:55 AM during that kind of a night shift, this ECG (among many others) was brought from triage for review by my team. We knew only that the ECG belonged to a man in his 50s with chest pain and normal vitals. Here is the computer interpretation: So we have a triage-computer-normal ECG. No prior available.
Dr. Smith's ECG Blog
AUGUST 3, 2017
This is his 12-Lead ECG: What do you think?​ Firstly, subendocardial ischemia does not localize on 12-Lead ECG. The precordial ST-depression pattern on this ECG (and in this clinical setting) should immediately raise suspicion of Posterior STEMI! What's also interesting to note is that there is ST-elevation in V6 on the ECG.
Cook County EM Blog
MAY 29, 2023
If a wide complex rhythm is present on ECG, sodium bicarbonate boluses (to overcome sodium channel blockade) should be administered. 2001 Nov; 9(8):565-74. Treatment: The mainstay of treatment is supportive care. Seizures should be treated with benzodiazepines. Cardiac dysrhythmias should be treated in the standard fashion.
EB Medicine
AUGUST 1, 2018
A 2001 study described an augmented risk of myocardial infarction within the first hour of cannabis use and found an almost 5-fold increase in those who reported smoking cannabis at least weekly when compared to those who smoked monthly or less. These include ibuprofen, pantoprazole, efavirenz, and lamotrigine.
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