2008 Documentation/Coding EKG/ECG 
Dr. Smith's ECG Blog
JANUARY 20, 2024
Triage ECG: And here she explains her assessment: The ECG was read as simply "No ST elevation." No repeat ECG was done at this time. Repeat ECG shows no changes." Here is that repeat ECG below, around 3 hours after triage: Repeat troponin during delay rose to 18,700 ng/L. Which is true. None further were ordered.
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
JULY 22, 2023
An ECG was performed in the ED at 1554: Original image unavailable, this is the only recorded scanned ECG available. In a patient with syncope and fever, this ECG looks more like Brugada. Smith comment: the ECG in question could be due to Brugada, even though there is a change from baseline. PM Cardio digitized version.
Dr. Smith's ECG Blog
NOVEMBER 3, 2023
The baseline ECG is basically normal with no ischemia. Here is what the Queen of Hearts says about the Baseline ECG: Active chest pain triage ECG also read as not OMI: She says "not OMI", but she does not have access to the baseline ECG. In the future, we will be able to have her compare with previous and serial ECGs.
Dr. Smith's ECG Blog
APRIL 17, 2023
Sean Rees MD, written by Pendell Meyers, other case by Sam Ghali and Steve Smith Take a look at these two ECGs below from two patients in the ED, first without any clinical context. The Queen of Hearts correctly says: Smith : Why is this ECG which manifests so much ST Elevation NOT a STEMI (even if it were a 60 year old with chest pain)?
Dr. Smith's ECG Blog
JANUARY 30, 2019
An initial EKG was obtained: Computer read: sinus tachycardia, early acute anterior infarct. Here is her prior EKG: When compared to the old EKG – Q waves present before, TWI in aVR present before, but all other changes are new. What is the differential for this EKG? T wave inversion III, aVR, TWF in aVF. Is this an OMI?
Dr. Smith's ECG Blog
AUGUST 26, 2009
He called 911 and paramedics recorded a prehospital 12 lead ECG which showed a clear inferior STEMI (not shown, tracing could not be found). On arrival, the following ECG was recorded. In this case the diagnosis was clear due to the prehospital ECG. But suppose there had been no prehospital ECG? There is 0.5
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