2023 EKG/ECG Emergency Department 
Dr. Smith's ECG Blog
JUNE 17, 2024
Written by Bobby Nicholson, MD 67 year old male with history of hypertension and hyperlipidemia presented to the Emergency Department via ambulance with midsternal nonradiating chest pain and dyspnea on exertion. Pain improved to 1/10 after EMS administers 324 mg aspirin and the following EKG is obtained at triage.
ACEP Now
AUGUST 12, 2024
A 35-year-old male presented to the emergency department complaining of chest pain that started 1.5 The patient had an EKG performed within 10 minutes of arrival while in triage (see Figure 1). In the absence of significant ST elevations, the EKG was signed and the patient was placed back in the queue to await a bed.
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Dr. Smith's ECG Blog
SEPTEMBER 25, 2024
This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech. A 56 year old male with a history of diabetes, dyslipidemia, hypertension, and coronary artery disease presented to the emergency department with sudden onset weakness, fatigue, lethargy, and confusion.
Dr. Smith's ECG Blog
AUGUST 4, 2024
Written by Pendell Meyers Try first to interpret the ECG without any clinical context: What do you think? Overall, this looks like one of the rare ECGs that is actually specific for pericarditis in my opinion. There was no prior ECG for comparison. Sinus rhythm with abnormal STE in V2-V6, and I, II, aVF. Pericarditis maybe."
Dr. Smith's ECG Blog
OCTOBER 18, 2023
All initial ECGs were labeled ‘normal’ or ‘otherwise normal’ by the computer interpretation, and below are the ECGs with the final cardiology interpretation. 1-3] But these studies were very short duration and used cardiology interpretation of ECGs or emergent angiography rather than patient outcomes.
Dr. Smith's ECG Blog
APRIL 18, 2024
Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. What do you think of the ECG, and does it matter? But does this matter? But only 6.4%
JournalFeed
FEBRUARY 24, 2024
Monday Spoon Feed: This single-center prospective study found that in 2,275 ECGs with a computerized interpretation of “normal” and “otherwise normal,” there was a negative predictive value (NPV) of 100% for STEMI, with no final diagnoses of ACS or STEMI, and none required cardiac catheterization that visit. West J Emerg Med.
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