2020 COPD EKG/ECG 
Ken Grauer, MD
FEBRUARY 28, 2023
The ECG and long lead II rhythm strip in Figure-1 — was obtained from a COVID positive patient with persistent tachycardia not responding to Diltiazem. Figure-1: The initial ECG — obtained from a patient with persistent tachycardia. ( To improve visualization — I've digitized the original ECG using PMcardio ).
Dr. Smith's ECG Blog
OCTOBER 21, 2023
Here is a normal LBBB: In LBBB, monophasic wide R-waves should be limited to the lateral leads in left bundle branch block, as in this ECG. In that ECG above, there are monophasic R-waves starting in lead V2 all the way out to V6. But why does this EKG look nothing like left bundle branch block? Is this sinus tachycardia or VT?
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Dr. Smith's ECG Blog
DECEMBER 13, 2023
This is the result for this ECG, from MDcalc.com : The most accurate cutpoint is 18.2. Here is a similar case from Pendell: This ECG was handed over at triage. That said — the ST-T wave in lead V2 looks to be small only if viewed in the context of its absolute height, as one of 12 leads in the initial ECG shown above in today's post.
ACEP Now
DECEMBER 6, 2024
A 45-year-old male with a history of chronic obstructive pulmonary disease (COPD), asthma, amphetamine and tetrahydrocannabinol (THC) use, and coronary vasospasm presented to triage with chest pain. During initial assessment, an ECG was obtained and revealed ST-segment elevation (STE) in the inferior leads with ST depression anteriorly.
Dr. Smith's ECG Blog
JUNE 21, 2024
A patient in the ICU with significant underlying cardiac disease [HFrEF 30%, non-ischemic cardiomyopathy, LBBB s/p CRT-D (biventricular pacer), AVNRT s/p ablation a few yrs ago, hx sinus tachycardia while on max tolerated BB therapy] went into a regular wide-complex tachycardia after intubation for severe COPD exacerbation. What do you think?
Dr. Smith's ECG Blog
APRIL 12, 2023
A 49 year old woman with h/o COPD only presented with sudden dyspnea. Prehospital Conventional algorithm interpretation: ANTERIOR INFARCT, STEMI Transformed ECG by PM Cardio: PM Cardio AI Bot interpretation: OMI with High Confidence What do you think? The ECG findings are focal to the anterior and high lateral wall.
Dr. Smith's ECG Blog
FEBRUARY 28, 2020
An ECG was texted to me (Smith) without any clinical information: What did I say? This clinical information followed: "The patient had a COPD exacerbation with a prehospital SpO2 of 60%. This clinical information followed: "The patient had a COPD exacerbation with a prehospital SpO2 of 60%. This is NOT Wellens.
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