ECG Interpretation: Dr. Smith ECG Blog- LINKS to My Comments

NOTE: Since end-May, 2018 — I have regularly written a "My Comment" feature on Dr. Smith's ECG Blog (with limited comments during 2021).

Prior to May 24, 2018 — I frequently added comments as an avid reader to Dr. Smith's posts. CLICK HERE — for a link to those comments before 5/24/2018.
I contributed to 310 posts up until I stopped in Dec., 2020.
From June, 2021 — through 11/14/2024 — I contributed to ~364 more posts ...

=====================================

For My Comments on Dr. Steve Smith's Blog (as Associate Editor):

Cardiac Arrest/Abnl 12-Lead (RVH/LVH-Katz-Wachtel ) - May 24, 2018 -
Acute Posterior MI despite RBBB (posterior leads Not) - May 26, 2018 -
LIST: A Long QT/QU + U Waves (Drugs/Lytes/CNS) - May 27, 2018 -
Paced ECG + Primary ST-T Wave Changes! (Acute MI) - May 29, 2018 -
Repost of this 2015 WCT Rhythm: Is the QRS Wide??? - May 30, 2018 -
LBBB with LA-LL Lead Reversal + Suble ST Changes - June 4, 2018 -
Bradycardia, Wide QRS, Pointed T, Hypotension (artifact) - June 6, 2018 -
Is the QRS really so Wide? (shark fin) - June 11, 2018 -
Inf. STEMI vs Constrictive Pericarditis (Schamroth sign) - June 17, 2018 -
WPW or AIVR? Why AIVR? ( = Sinus Brady ...) - June 18, 2018 -
What is Terminal QRS Distortion (Pericarditis @ Peril) - June 20, 2018 -
LBBB, modified Sgarbossa, Qualitative ST-T Changes - June 22, 2018 -
Does this ECG help Manage Insulin Overdose? (low K+) - June 24, 2018 -
Early Repol vs OMI vs Pericarditis (AFib/Group Beating) - June 26, 2018 -
Wellens' Syndrome + Change in Serial Tracings! - June 28, 2018 -
Type 1 MI with a Normal Cath (isolated high lateral MI) - July 1, 2018 -
Use of Terminal QRS Distortion to make the Diagnosis! - July 3, 2018 -
Slow AFib + Syncope (about Sick Sinus Syndrome!) - July 5, 2018 -
When Should the OMI Dx have Been Made? - July 8, 2018 -
Acute Inf. OMI + RV MI (Hyperacute ST-T / Mirror-Image) - July 11, 2018 -
— Also — ischemia-induced J-waves (My July 11 Comment)
Acute High Lat. OMI (only seen in aVL) - July 13, 2018 -
Recognizing LQTS (Long QT Syndrome) on ECG - July 17, 2018 -
Sodium-Channel Blockade on ECG (Long QTc) - July 20, 2018 -
ECG Findings of Hypokalemia — and — Anything Else? - July 22, 2018 -
ECG Findings of Hyperkalemia (Eiffel Tower/Rhabdo) - July 24, 2018 -
Is there ST Elevation? (Acute PE/Simultaneous Leads) - July 26, 2018 -
Paramedic recognition of subtle OMI (V1,2 malposition) - July 28, 2018 -
Limb Lead and Chest Lead Misplacement (Recognition!) - July 29, 2018 -
CP in 30yo Woman (Subtle Abns in 11/12 leads/Compare) - July 31, 2018 -
A Regular SVT — How to Diagnose AFlutter? - August 3, 2018 -
A Regular WCT with an LBBB-like Pattern ... - August 5, 2018 -
A 13yo with SOB (WPW - arrhythmias - localization) - August 7, 2018 -
Lots of ST Elevation: Repol vs STEMI? (mirror-image) - August 9, 2018 -
Acute LMain Occlusion! — and a subtle initial tracing ... - August 30, 2018 -
2 Occlusions (Good and less good ECG interpretation ... ) - Sept. 2, 2018 -
Reverse Takotsubo and an Unusual ECG - Sept. 4, 2018 -
Subtle Post-Lat OMI (LCx) + VT with AV Diss/Capture - Sept. 7, 2018 -
50yo Woman with CP & "Normal" Triage Tracings - Sept. 11, 2018 -
Acute PE (ECG & Echo findings) - Sept. 12, 2018 -
Idiopathic VT — Fascicular VT (See My Comment) - Sept. 14, 2018 -
Subtle Serial ECG Changes in a 30yo with CP - Sept. 15, 2018 -
Hyperacute T Waves (The Wrong Question was Asked) - Sept. 20, 2018 -
AFlutter with subtle Anterior STEMI (Use calipers! ) - Sept. 24, 2018 -
Cabrera Format - 50mm/second speed - Chest Pain ... - Sept. 26, 2018 -
Dialysis Patient — "Pseudonormalization" ST-T Waves - Sept. 29, 2018 -
Giant T Waves / Origin of an Atrial Rhythm - October 1, 2018 -
Paced ECG with Acute Anterior STEMI (Sgarbossa) - October 3, 2018 -
Subtle Acute High-Lat STEMI (aVL-mirror image) - October 6, 2018 -
Acute STEMI diagnosed ONLY by PVC Morphology - October 8, 2018 -
Another Invalid Study on Triage ECGs in the ED - October 9, 2018 -
Subtle OMI in a Triage ECG (PR vs TP Baseline) - October 14, 2018 -
Anterior MI + PVCs (Subtle rhythm-junctional escape) - Oct. 19, 2018 -
80yo man with sudden PEA (no clear "culprit" on ECG) - Oct. 22, 2018 -
Normal Troponin & Acute Occlusion (ischemic J waves) - Oct. 24, 2018 -
Inf. ST Elev but No MI! (ST straightened- a "normal" ST) - Oct. 27, 2018 -
Diffuse ST Dep/ST Elev in aVR (Recognize this pattern! ) - Oct. 31, 2018 -
Q waves in V1,V2 = Septal MI? (or V1/V2 Misplacement?) - Nov. 4, 2018 -
Recognition of a Long QTc (Assessing the QTc- LIST ) - Nov. 7, 2018 -
A Case-Based Study of Pacer Malfunction (bradycardia) - Nov. 9, 2018 -
2 ECGs Texted to Dr. Meyers (Acute STEMI or not?) - Nov. 12, 2018 -
Serial ECG Changes over 10 tracings in Acute STEMI - Nov. 15, 2018 -
Hyperacute T waves - new LAHB + Inf. Q waves = OMI - Nov. 18, 2018 -
RBBB + Chest Pain: New vs Old? - Nov. 21, 2018 -
Acute STEMI missed by the Computer - Nov. 21, 2018 -
Are these Hyperacute T waves? (Computer says stemi) - Nov. 24, 2018 -
Regular SVT at 200/min. + acute STEMI? (Semantics) - Nov. 26, 2018 -
ST Elev. in V1,V2 — STEMI? Brugada-2? (or leads?) - Nov. 28, 2018 -
Shock, LVH and/or Diffuse Subendocardial Ischemia - Nov. 30, 2018 -
2 ECGs without a History: Acute Changes or Not? - Dec. 5, 2018 -
Not Bigeminy — But a Problem with K+ & Ca++ (DKA) - Dec. 11, 2018 -
Can this be Wellens' Syndrome without an Infarct? - Dec. 14, 2018 -
A Regular WCT: VT vs AFlutter + Flecainide Toxicity? - Dec. 16, 2018 -
The Computer Called this Normal (Subtle STEMI ) - Dec. 19, 2018 -
Subtle ST-T wave changes (Normal vs Flat ST segment) - Dec. 24, 2018 -
ST Elevation in V1-3: Ant MI vs "Strain" (ECG Dx of LVH)- Dec 27, 2018 -
ST Elevation in V3: Is it Normal? (More on ECG Dx LVH) - Dec. 29, 2018 -
Benign T Wave? Hypertrophic CardioMyopathy? - Jan. 2, 2019 -
"Who Done It? = HyperKalemia + HypoCalcemia - Jan. 3, 2019 - Jan 7 -
Dynamic ST-T Wave Changes (Myocarditis, LVH) - Jan. 9, 2019 -
Isolated RV MI + unusual pointed ischemic T waves - Jan. 11, 2019 -
Bradycardia & AV Block from Hyper-K (Rhythm Pearls) - Jan. 13, 2019 -
The Regular WCT: VT vs SVT with Aberrancy? - Jan 24, 2019 -
Junctional vs Low Atrial Rhythm? (neg P or part QRS?) - Jan. 28, 2019 -
Hyperthermia and ST Elevation in V1,V2 (Brugada-1) - Jan. 30, 2019 -
Diffuse ST Dep/ST Elev in aVR not due to CAD (low K+) - Feb. 2, 2019 -
Subtle OMI diagnosis by ECG Comparison (pos Trop) - Feb. 5, 2019 -
Right-Sided HF and an SVT (Why is this AFlutter?) - Feb. 9, 2019 -
RVH - IRBBB: Is Ant T Inversion New or Old? - Feb. 12, 2019 -
How Long Will You Wait for OMI to become STEMI? - Feb. 16, 2019 -
Coved ST Elevation in Chest Leads: Acute or Not? - Feb. 18, 2019 -
Cardiac Arrest, ROSC and now RBBB? (very wide! ) - Feb. 28, 2019 -
LVH, diffuse ST dep/ST elev in aVR (Sickle Cell ) - March 2, 2019 -
Monitor Leads for ST Elevation? (Filter Settings! ) - March 4, 2019 -
Recognizing abnormal ST elevation in V1,V2 - March 6, 2019 -
Subtle Acute MI (Is complex A or B in aVL correct?) - March 8, 2019 -
Resp. Failure + a "Normal" Computer ECG ("smiley" ) - March 11, 2019 -
What is the Rhythm? (2 Regular WCTs vs 1 Rhythm?) - March 13, 2019 -
The SHAPE in lead V2 — Acute OMI - March 15, 2019 -
Acute OMI Dx'd by Speckle Echo (an unusual IVCD) - March 18, 2019 -
Electrolytes — Pathognomonic ECG (hypoCa/hyperK) - March 19, 2019 -
Junctional Escape (Laddergram)/SubEndo Ischemia - March 26, 2019 -
Subtle High-Lat OMI + 3 False Pos (ST elev in aVL) - March 29, 2019 -
3 ECG shown to Dr. Meyers (To Activate Cath Lab? ) - March 31, 2019 -
Acute LAD Occlusion in an Elderly Patient - April 3, 2019 -
ECG Findings & Clinical Diagnosis of Acute PE - April 5, 2019 -
A Pt with Abdominal Pain and LBBB (qualitatively + ) - April 7, 2019 -
Acute OMI missed because it wasn't a "STEMI" - April 12, 2019 -
Type 2 MI + Myocardial Bridging + Tachy/ST Elev - April 15, 2019 -
Acute Pericarditis or a Repolarization Variant ECG? - April 19, 2019 -
OMI despite no STEMI ( + V2 lead malposition) - April 20, 2019 -
CP & ST Depression only in leads I and aVL ... - April 22, 2019 -
A WCT Rhythm with Alternating Wide-Narrow Beats - April 23, 2019 -
Dx of Acute STEMI despite being a Paced Tracing - April 25, 2019 -
Terminal QRS Distortion (T-QRS-D) - LVH Voltage - April 27, 2019 -
LBBB vs WPW (LBBB criteria- All about WPW) - April 30, 2019 -
Tachyarrhythmias: Use of Monitor vs a 12-Lead ECG - May 1, 2019 -
De Winter T Waves (Typical & Atypical Features) - May 2, 2019 -
Brugada ECG Patterns vs Acute Anterior STEMI - May 6, 2019 -
Don't Overlook this OMI (Be Systematic/Computer Use) - May 7, 2019 -
Another Anterior OMI/Not Repol (the Visual Picture) - May 11, 2019 -
Chest Pain in a Pt with a Paced Rhythm (2:1 ATach?) - May 13, 2019 -
Peaked T Waves despite serum K+ = 2.4 mEq/L - May 15, 2019 -
LVH and/or Acute OMI (Nit-Picking Serial Tracings/LVH) - May 19, 2019 -
LBBB: Recognizing Acute OMI (Smith-Mod-Sgarbossa) - May 24, 2019 -
Acute Ant. OMI (What will the Cardiologist do Next Time?) May 26, 2019 -
A Complex ECG and No Clinical Info (Laddergram) - May 28, 2019 -
Superimposed Changes on Prior Antero-Lat STEMI? - June 2, 2019 -
Cardiologist & Computer said "Normal" (acute OMI) - June 4, 2019 -
Is ST-T wave SHAPE normal? (Cath lab activation? ) - June 7, 2019 -
How Not to Miss WPW (Reviews My Approach) - June 8, 2019 -
Hyperacute T Waves (on way down) - Computer - June 9, 2019 -
20yo with Chest Pain: Early Repol or Something Else?- June 11, 2019 -
A Patient with SOB (Systematic-LVH-QTc-hyper-K+) - June 15, 2019 -
Dr. Smith's 3- and 4-Variable Formula (Ant STEMI? ) - June 17, 2019 -
Repolarization Variants vs LVH-HCM-STEMI? (blacks) - June 20, 2019 -
"Smiley"-shape ST Elevation (Using this Concept! ) - June 22, 2019 -
Very Subtle Inferior Lead ST-T Wave Change - June 23, 2019 -
Quick Recognition of Acute Proximal LAD Occlusion - June 26, 2019 -
A System needed to pick up all Findings! (Inf OMI ) - June 28, 2019 -
2 Cases of RBBB (My Approach for ECG Dx of BBB) - July 1, 2019 -
CP Onset 24-48 Hrs Ago (2 Post MIs- Correlate to Hx) - July 5, 2019 -
Subtle-but-definite acute LAD OMI (artifact! ) - July 11, 2019 -
ST Elevation only in V6/Recip in V1 (LCx-Post MI ) - July 15, 2019 -
Doubling Size of Complexes Facilitates OMI Dx! - July 17, 2019 -
Subtle LAD OMI: New vs Old? (Brugada-like) - July 19, 2019 -
Acute MYOCARDITIS vs OMI vs Repol (Serial Tracings) - July 21, 2019 -
The ECG was Correct; Cath was Not! (Late-Cycle PVCs)- Aug. 13, 2019 -
5 Cardiologists say No STEMI — Is in an OMI? - August 15, 2019 -
CP in a 50yo with a "Normal" ECG — Or an OMI? - August 18, 2019 -
Evidence of Acute OMI on this Pacer Tracing? - August 20, 2019 -
Are these Hyperacute T Waves? - August 26, 2019 -
Short QTc Syndrome vs Hyperkalemic T Waves - Sept. 2, 2019 -
Recognize this ECG? (HyperK- Brugada Phenocopy) - Sept. 8, 2019 -
Non-Cardiac Ischemia on ECG (+ a few questions) - Sept. 12, 2019 -
Troponin Trajectory: New Ant MI vs LV Aneurysm? - Sept. 17, 2019 -
When the QRS is Wide — the J-Point will Hide! (VSD) - Sept. 20, 2019 -
Why do beats "A" and "B" look so different? (artifact) - Sept. 22, 2019 -
7 mm of ST Elevation with LBBB = Acute? What Else? - Sept. 25, 2019 -
Acute MI diagnosis by Chest CT (+ suble ECG/Artifact) - Sept. 27, 2019 -
Subtle Inf. OMI / MAT at normal Rate - Sept. 30, 2019 -
ST Depression in a 30yo (Atrial Repol Wave/Tachycardia) - Oct. 2, 2019 -
Shark Fin Morphology (Don't Forget to look for P waves! ) - Oct. 4, 2019 -
Interplay between Post MI and acute RV MI! - Oct. 9, 2019 -
Do You Understand these T Wave Inversions? - Oct. 10, 2019 -
Regular SVT (AVRT — 30yo with WPW — Mgmt) - Oct. 16, 2019 -
Acute Inf-Lat OMI (QS inf leads-Tall R V1-Silent MI ) - Oct. 20, 2019 -
Causes of ST Depression ("scooped" ST/Dig/LIST ) - Oct. 21, 2019 -
SCAD (Spontaneous Coronary Artery Dissection) - 30f - Oct. 24, 2019 -
Look at All ECGs done Serially! (Subtle clues! ) - Nov. 1, 2019 -
Diffuse Subendocardial Ischemia (not always cardiac! ) - Nov. 3, 2019 -
Vagotonic AFib in 30yo (The RATE of AFib - D.D.) - Nov 5, 2019 -
Subtle Changes = an ECG non-diagnostic of OMI (Lytics?) - Nov. 8, 2019 -
What is this SVT @ 150/min? (AFlutter — MY POST ) - Nov. 12, 2019 -
Repolarization Variants vs Acute OMI (T-QRS-D) - Nov. 14, 2019 -
Seizures — Review of HypoKalemia - Nov. 18, 2019 -
CP in a 30yo — Acute OMI? (Serial ECGs) - Nov. 20, 2019 -
Cardiac Arrest — Shark Fin/ Osborn Waves/ Low Atrial - Nov. 22, 2019 -
Is there Global ST Depression? — or Atrial Flutter? - Nov. 26, 2019 -
Acute Pancreatitis/LVH and Repol vs Acute OMI? - Nov. 27, 2019 -
Distinguishing New vs Old MI (vs superimposed MI) - Nov. 29, 2019 -
A 30yo woman with Fever-Induced Brugada-1? - Dec. 5, 2019 -
CO Poisoning — Prox LAD Occlusion (T-QRS-D ) - Dec. 9, 2019 -
Acute Myocarditis vs Repol vs OMI (Serial ECGs) - Dec. 10, 2019 -
Acute PERICARDITIS (detailed discussion! ) - Dec. 13, 2019 -
Acute OMI despite LBBB (Smith-Sgarbossa- subtle! ) - Dec. 16, 2019 -
More on HypoKalemia - Dec. 18, 2019 -
A Regular WCT (Wide-Complex Tachycardia) - Dec. 23, 2019 -
Don't Overlook AFlutter! (Regular SVT at ~150/minute) - Dec. 24, 2019 -
Mobitz II in an Asymptomatic 80yo (AV Blocks) - January 1, 2020 -
Hypothermia with Osborn Waves! - Jan. 2, 2020 -
MAT - the Computer - Aberrant Conduction (Ashman) - Jan. 5, 2020 -
Crochetage Sign — Is there an ASD? - Jan. 8, 2020 -
Acute Pericarditis (Myocarditis)? Acute OMI? Repol? - Jan. 10, 2020 -
Acute MI + Post-Infarction Pericarditis (Review) - Jan. 14, 2020 -
Acute LMain Occlusion (ECG Recognition) - Jan. 16, 2020 -
Acute Inf OMI (Complex Rhythms-Ladder-Mobitz I ) - Jan 19, 2020 -
RBBB + 1° ST-T changes/AFib + AV Block (SSS? ) - Jan 22, 2020 -
"Shark Fin" / Myocardial "Stunning" ==> Low Voltage - Jan. 24, 2020 -
Hyperkalemia (Ventricular Escape - ECG Changes) - Jan. 26, 2020 -
20-ish yo with Chest Pain (distal LAD OMI - subtle) - Jan. 29, 2020 -
Hx of Stents with Chest Pain (RBBB-Fragmentation) - Jan. 31, 2020 -
7 Tracings: Which 3 have Acute Inferior OMI? - Feb. 2, 2020 -
Cardiology would Not Cath this Patient! (Ant. OMI ) - Feb 4, 2020 -
ST Elevation in V1,V2 — due to LVH (not ACS) - Feb. 6, 2020 -
ST Elevation in aVR (Coronary Occlusion?/SVT? ) - March 9, 2020 -
Ischemia vs Lead Misplacement (How to Recognize) - Feb. 11, 2020 -
A 50s Man with "Gas Pain" (Early LAD Occlusion) - Feb. 14, 2020 -
HypoThermia — Shark Fin (Causes of Myocarditis) - Feb. 16, 2020 -
32yo with CP — Hyperacute T waves MISSED - Feb. 18, 2020 -
What are these Wide Complexes (AV Diss- AIVR) - Feb. 20, 2020 -
A Man in his 60s with CP (Subtle OMI) - March 2, 2020 -
Anterior T Inversion (Not Wellens- PE vs Ischemia) - Feb. 28, 2020 -
Sinus Tach with a VERY Long PR Interval - March 4, 2020 -
ATach vs AVNRT of the Fast-Slow Type - March 6, 2020 -
ST Elevation in aVR/Diffuse ST Dep (normal cath) - March 9, 2020 -
A Scenario to Recognize (Irregular WCT-AFib/WPW) - March 12, 2020 -
32yo with CP (LA-RA Lead Reversal + acute OMI) - March 18, 2020 -
50ish yo with ETOH Ketoacidosis (Takotsubo CMP) - March 25, 2020 -
30yo with CP (Tom Fiero case- acute OMI missed) - March 29, 2020 -
PVCs and AV Block? (NOT! - Interpolated- My Case) - April 9, 2020 -
Man in 60s (RBBB Basics-Hemiblocks-Acute OMI) - April 13, 2020 -
Differential Diagnosis of a Regular WCT (VT/LPHB) - April 15, 2020 -
Acute OMI not seen on ECG (subtle V1 ST elev) - April 20, 2020 -
Why 3 QRS Morphologies? (Rate-Related BBB) - April 22, 2020 -
Is it VT or SVT with Aberrancy? (MY Case! ) - May 5, 2020 -
Ant. ST Dep: Post MI or Subendocardial Ischemia? - April 24, 2020 -
"Shark Fin" with Twist (pseudo-MI- Hyper-K+ ) - April 25, 2020 -
Cardiac Arrest- Torsades vs PMVT (bizarre PVCs) - April 29, 2020 -
A 20yo with Vomiting (low K+ - Causes of Long QT) - May 3, 2020 -
ECG from a Study (Normal variant - Gestalt! ) - May 7, 2020 -
The Many Faces of HypoKalemia! (Table-K+ ) - May 9, 2020 -
50yo/SOB/Covid-19 (Indeterminate Axis-MyoCard) - May 11, 2020 -
Diffuse Subendocardial Ischemia (Normal Echo! ) - May 13, 2020 -
Cardiac Arrest/ECMO — Shark Fin (rhythm-Type II MI) - May 19, 2020 -
AV Block & Something Else? (Ladder! - MY Case) - May 16, 2020 -
Subtle AFlutter (looks like sinus tach-MY Case) - May 22, 2020 -
Syncope- Long 1st Deg. (AV Diss vs 3rd- P or U-wave?) - May 24, 2020 -
Early Repol vs Acute OMI (GOOD- R/O acute OMI ) - May 26, 2020 -
A Different Kind of WCT (Pleomorphic VT ) - June 1, 2020 -
SVT at 160 — then 240/minute (AVNRT-Adenosine) - May 31, 2020 -
What is the Culprit Artery? (prox LAD vs RCA/RV MI ) - June 6, 2020 -
Emery Phenomenon = (Pseudo-MI from neg P in lead II ) - June 3, 2020 -
A Fast Regular WCT/BBB-Reentry VT (at ~268/minute! ) - June 9, 2020 -
A 50-something man (SUBTLE MI !!! ) - June 12, 2020 -
Drug O/D with Fascinating Arrhythmia (Ladder! ) - June 13, 2020 -
Man in 60s — ROSC, Hyperacute T Waves (lad omi) - June 15, 2020 -
LVH causing ST Elevation in V1,V2 (not a STEMI!- LVH) - June 20, 2020 -
GIANT T Waves (Table) - HypoKalemia - June 22, 2020 -
Intermittent Wide QRS - No Hx (RBBB-MY Case) - June 25, 2020 -
Severe HyperNatremia (also hyper/hypo-Ca++ ) - July 1, 2020 -
A 60-something man (AFib/Ashman phenomenon) - June 17, 2020 -
Resuscitation ECGs are Often Bizarre (Spiked Helmet) - June 28, 2020 -
Trauma & blood Transfusions (hypo-Ca++/hyper-K+ ) - July 3, 2020 -
An Elderly Man with Hiatal Hernia (ischemic ST-T/new AFib) - July 7, 2020 -
Subacute MI (MI of ? Age/Dating MI - ongoing CP-for Cath) - July 9, 2020 -
20yo with Syncope (Pericarditis - Pericardial Tamponade) - July 12, 2020 -
CP — RBBB — Subendocardial Ischemia (No Cath Lab!) - July 15, 2020 -
Subtle Inferior/RV MI (Acute RV MI- Right-sided leads) - July 19, 2020 -
Interesting Troponins (Dynamic ST-T Wave Changes) - July 21, 2020 -
New Dyspnea (RA-LL Lead Reversal- USE! ) - July 28, 2020 -
50yo man — de Winter-like OMI (late-cycle PVCs) - July 26, 2020 -
The OMI Manifesto (Summary) - July 31, 2020 -
Subtle OMI from France (Computer) - August 1, 2020 -
40yo man — another OMI (STEMI-neg- Greece) - August 4, 2020 -
Middle-aged woman (OMI not Pericard- Q wave size) - August 8, 2020 -
VERDICT Trial (Use of CT Angiography for NSTE-ACS) - August 8, 2020 -
4 Tachyarrhythmias in a Man with CP - August 13, 2020 -
35yo (MY Case - Ladder! - Mobitz I-Phase 4- RHYTHM) - August 17, 2020 -
Pseudo-Wellens' Syndrome (Why it is not Wellens! ) - August 19, 2020 -
Dynamic ST-T Change (Repolarization Variant) - August 21, 2020 -
Acute OMI + RBBB/LAHB (Cardiology oversight! ) - August 24, 2020 -
Low Voltage, Cardiogenic Shock & Subtle OMI - August 28, 2020 -
31yo with HTN + ST Elev/T Inversion (but not OMI) - August 30, 2020 -
21yof with SOB,exertional syncope (ECG Dx of RVH!) - Sept. 1, 2020 -
The OMI Manifesto (17 minutes — Dr. Meyers) - Sept. 3, 2020 -
HyperKalemia (serial ECGs - Brugada Phenocopy) - Sept. 5, 2020 -
SVT at 257/minute (Idiopathic VT- Fascicular/RVOT VT) - Sept. 7, 2020 -
AV Wenckebach (Dual AV Pathways- Laddergram) - Sept. 9, 2020 -
An 18yo with CP (ST/T Ratio - Pericarditis vs Repol) - Sept. 11, 2020 -
Acute Inf-Post-Lat OMI (Mirror- Fig of OMI Findings) - Sept. 13, 2020 -
58yo with False Positive OMI (Repolarization Variant) - Sept. 15, 2020 -
60yo with LBBB + Acute OMI (MY Case) - Sept. 17, 2020 -
Cardiac Arrest with Neg initial Troponin - Sept. 19, 2020 -
Cardiologists limited by STEMI Criteria (Mirror- Post MI) - Sept 21, 2020 -
Prominent J (Osborn) Waves as Sign of Acute OMI - Sept. 23, 2020 -
Cardiac Arrest/Massive PE (Not Complete AV Block) - Sept. 24, 2020 -
40-yo with Irreg. Rhythm (MY Case- Runs of PACs-Ladder) - Sept. 26, 2020 -
Another Post MI missed by Cards (Mirror- Hyper-K+) - Sept. 28, 2020 -
Missed OMI (Subtle Posterior MI- LCx OMI ) - October 2, 2020 -
Partially Paced ECG with Inf-Post-Lat OMI - October 5, 2020 -
Is this Wellens' Syndrome (LVH - AV Diss- Ladder) - October 9, 2020 -
The Posterior Paradox (Post MI- Mirror- Silent MI) - October 11, 2020 -
Serial ECGs = a STEMI that Resolves (11/12 leads) - October 14, 2020 -
Covid with a Regular WCT ( Not VT but ARTIFACT) - October 17, 2020 -
Brooks: PACER ECG that is Acute OMI (My Comment) - October 19, 2020 -
HyperKalemia — Advanced Points (My Comment !!! ) - October 21, 2020 -
40-yo with CP (Repol vs LVH vs Subtle Ant. OMI !!!) - October 23, 2020 -
Shark Tooth "Silent Ischemia" + VT (Cabrera Format) - October 26, 2020 -
— MY Review on Cabrera format — GOOD on Coronary Spasm —
Septal OMI? (Saddleback- Many ECG Findings) - October 28, 2020 -
60-yo with Weakness (My Comment- HyperCalcemia) - October 30, 2020 -
An ECG without History is Mystery (Wellens! ) - November 6, 2020 -
This can be Taught: Qualitative Approach to ECGs (OMI) - Nov. 8, 2020 -
A 30-something Man - CP - Artifact-D.Richley-Christopher- Nov. 10, 2020 -
Extreme SHOCK + COVID (Low Voltage - RA artifact) - Nov. 12, 2020 -
ATach with Block - Dig Toxicity (My Comment- Ladder) - Nov. 24, 2020 -
Amyloid with Slow AFlutter vs ATach & 2:1 Block - Nov. 15, 2020 -
Anterior ST Elevation (LVH) + LA-LL Lead Reversal - Nov. 19, 2020 -
VFib/ subtle OMI-TABLE! (Inter-Intra Observ Variability) - Nov. 17, 2020 -
Resident not Faculty saw OMI (Lead aVL- Coronary Circ.) - Nov. 21, 2020 -
49yo-Serial ECGs-Wellens Syndrome (My LAST Comment) - Dec. 4, 2020 -

I Resumed MY Commentary after June, 2021:

Acute prox. RCA Occlusion (2nd-Degree- LADDERGRAM) - Jun. 17, 2021 -
A Child with Biphasic T Waves in Leads V1,V2 - July 10, 20201 -
AV Block? Echo beats? — No, Interpolated PVCs - July 16, 2021 -
AV Block that "doesn't obey the rules" (Hyperkalemia) - October 16, 2021 -
PEA Arrest & AV Blocks (subtle 2:1; dual-level Wencke) - October 27, 2021 -
WCT Case: 1 VT site, but Changing QRS Morphology! - Nov. 6, 2021 -
LA-RA Lead Reversal misdiagnosed as acute OMI - Nov. 27, 2021 -
Large Ta Wave simulates Ischemic ST Depression - Dec. 9, 2021 -
Detection of Posterior OMI (Use of Mirror Test! ) - January 3, 2022 -
Giant T-Wave Syndrome (LVH-Apical HCM) - January 8, 2022 -
Marked ST Abnormality = CNS/OMI/Takotsubo? - January 14, 2022 -
Other ECG Findings of Life-Threatening Hyper-K+ - January 16, 2022 -
Subtle ECG Signs of acute OMI in LBBB — January 31, 2022 -
This ECG Interpreted by Computer as Normal (OMI) — Feb. 4, 2022 -
Hypothermia to 18°C (with huge Osborn Waves) — Feb. 8, 2022 -
Jessie McLaren: 6 serial ECGs (subtle OMI- Mirror! ) — Feb. 10, 2022 -
Use of the Term, "Diffuse"? (Inf-Ant-Lat OMI) — February 12, 2022 -
40yo woman with RVOT VT (MY Comment) — February 14, 2022 -
CO Poisoning (J-Point vs Terminal QRS Distortion) — Feb. 18, 2022 -
40yo man with CP- OMI ECG Signs- LA-LL Reversal — Feb. 22, 2022 -
Subtle Post. OMI- Technically Inadequate ECG! — Feb. 25, 2022 -
40yo with worrisome ST Elevation but Tachycardia! — March 3, 2022 -
80yo woman with SOB — All about RVH! — March 6, 2022 -
Memorize those Squiggly Lines (11/12 leads- OMI! )- March 9, 2022 -
Pendell: 60m-Seizure ( vs Vent. Standstill/Mobitz I) - March 14, 2022 -
SSmith: Giant U-Waves ( + LVH,RAA,RVH- HypoK )- March 18, 2022 -
SSmith: I was reading ECGs (3:1 AFlutter/Computer)- March 20, 2022 -
Pendell: Pathognomonic (BTWI & ER-ST Variation! ) - March 22, 2022 -
(also shows benign T wave notching! )
SSmith (Deep): Subtle OMI-VT Criteria- Low Voltage - March 23, 2022 -
SSmith (Deep): Evidence of OMI? (T-Imbalance V1-V6) - March 26, 2022 -
Pendell: Woman 50s-SOB-large Acute PE (QR in V1) - March 28, 2022 -
JesseM: LBBB + OMI (SSmith on Modified Sgarbossa!)- March 31, 2022 -
Pendell: Man in 50s — Asymptomatic VT! for ? duration - April 2, 2022 -
Diffuse ST Depression in 35yo with Chest Pain and WPW - April 5, 2022 -
SSmith: Will Cath tell if ECG is OMI? (subtle - RBBB)- April 11, 2022 -
Pendell: Man in 50s: CP-serial ECGs-DELAY for OMI - April 13, 2022 -
Pendell: Woman-30s: CP- ST elev in V2-OMI-FLAG/AIVR - April 8, 2022 -
SSmith: Ant. ST Elevate? (V1,V2- LVH-Brugada-2-K=6.1)- April 17, 2022 -
SSmith: ST Elev./Dep. on a Monitor? (Filter Settings)- April 20, 2022 -
JesseM: CP, Normal ECG- OMI missed (ETT, History)- April 22, 2022 -
Pendell-Magnus: WPW (AFib @250 -AVRT-Cabrera)- April 24, 2022 -
SSmith: RBBB/LAHB- Abnl ST-T Waves (Me on BBB)- April 26, 2022 -
Pendell-Goss: 40m-RUQ Pain- Acute PE (My Table)- April 28, 2022 -
Pendell: Man-40s (ME-subtle 2:1 Block-PM Cardio App)- May 1, 2022 -
JesseM: Posterior OMI-Mirror (Low voltage/Technical) - May 3, 2022 -
Pendell: Confusing (LA-RA Reversal-Brugada-Hyper-K)- May 5, 2022 -
SSmith: Unstable Angina Exists (ME on Atypical CP) - May 8, 2022 -
Pendell: Quiz Post — OMI or Nl? (S.African Flag Sign) - May 11, 2022 -
SSmith: 30yo (Regular WCT-AVRT-vs- Idiopathic VT)- May 14, 2022 -
Pendell: Asthma- BTWI vs Wellens (Trop p-running-WAP)- May 19, 2022 -
JesseM: Quiz — Inf ST Elev- Omi? (Early Repol- ME) - May 23, 2022 -
SSmith: CP + Troponin-Myocarditis (LA-LL Reversal)- May 24, 2022 -
Pendell: Back to Basics-OMI (SA Block-Leads III,aVF) - May 25, 2022 -
SSmith: Does single Troponin R/O? (LA-LL Reversal)- May 27, 2022 -
SSmith: Occlusion MI? (T-Imbalance V1-V6- OMI? ) - June 1, 2022 -
JesseM: Acute OMI on ECG but not on Cath (MINOCA)- June 5, 2022 -
Pendell: GSW-Heart (Traumatic Pericarditis- Review!)- June 8, 2022 -
SSmith: Acute OMI vs Acute Pericarditis - June 11, 2022 -
Pendell: 30yo with CP/AS (Subtle ECG OMI- LVH) - June 17, 2022 -
JesseM: LVH and repeated ED Visits for Chest Pain - June 20, 2022 -
SSmith: LBBB with marked ST-T wave changes! - June 23, 2022 -
Pendell: LVH-difficult ECG; Need to Repeat the ECG!- June 25, 2022 -
SSmith: PseudoNormalization-Wellens-Serial ECGs- June 29, 2022 -
SSmith: Unstable Angina-2 (ME-Diastolic Dysfunction)- July 2, 2022 -
SSmith: The ECG Must be at Right Time (Subtle OMI)- July 4, 2022 -
Pendell: Instant "Easy Save" (deWinter T-waves) - July 11, 2022 -
Pendell: Not Convinced of STEMI (890-Cath-Osborn)- July 13, 2022 -
SSmith: Middle-aged Male with GERD (subtle OMI) - July 16, 2022 -
JesseM: 90yo-CP,RBBB-STEMI Neg (Location-Shape)- July 18, 2022 -
— Shape - Proportion & Location !!! (to assess for OMI) —
Pendell: 40yo Woman - Nausea - Reverse Takotsubo - July 21, 2022 -
Pendell: Covid-pos: Myocarditis vs Acute OMI - July 25, 2022 -
JesseM: How to Assess for OMI with marked LVH? - July 29, 2022 -
— Shape - Proportion & Location !!! (to assess for OMI) —
Pendell: Man 60s — LBBB-subtle OMI (Qualitative) - August 1, 2022 -
SSmith: Serial ECGs-Ant. OMI (Pacer- Laddergram) - August 3, 2022 -
Pendell: Multi-Chest Trauma (Me) Cardiac Contusion - August 6, 2022 -
SSmith: Wellens' Syndrome (Me)- (may mimic Inferior MI) Aug. 12, 2022 -
Pendell: Woman 30s — CP, LVH and OMI (Tall T waves) August 15, 2022 -
SSmith: Rapid AFib not Post OMI (Me) LA-RA Reversal!- Aug. 17, 2022 -
— Links to other Lead Reversals on Dr. Smith's Blog!
JesseM: 60yo-Sepsis-Wellens? (Infarction-Type 1,2 MIs! ) - Aug. 19, 2022 -
SSmith: Very Fast SVT (Adenosine-induced RBBB) - August 23, 2022 -
Pendell: Tapping Artifact (Me) - Einthoven's Triangle - August 26, 2022 -
SSmith: Unstable Angina/HS Troponin (Me)- Hyper-K+ - Sept. 5, 2022 -
Pendell: 2 Patients with CP (Which has acute OMI? ) September 9, 2022 -
Pendell: Man 60s — LBBB-OMI-Sgarbossa-Qualitative- Sept. 11, 2022 -
JesseM: CP, high Trop (STEMI vs OMI-diagnostic PVC) Sept. 13, 2022 -
SSmith: Woman Agitated (Takotsubo-Giant T-waves)- Sept. 19, 2022 -
SSmith: Post Leads = False Reassurance (Mirror Test) - Sept. 21, 2022 -
Pendell: 50m-CP- Early deWinter T-wave Pattern (Me) - Sept. 22, 2022 -
Emre Aslanger: (Prox LAD OMI- Misdiagnosed) - September 25, 2022 -
SSmith: All Changes from LVH? (LVH vs Acute OMI) - Sept. 30, 2022 -
Pendell: CP 1 day after Nl Stress Test (ME-Rhythm! ) - Oct. 3, 2022 -
SSmith: Activate the Cath Lab? (LVH-V1,V2-BTWI- Me!) Oct. 6, 2022 -
Pendell: Cardiac Arrest & STE (Acute PE on ECG) - October 10, 2022 -
JesseM: Acute Post OMI despite WPW! - October 13, 2022 -
Pendell-SSmith: Precordial Swirl (vs LVH-"Strain") - October 15, 2022 -
SSmith: Is there T-QRS-D (Terminal-QRS-Distortion)? October 17, 2022 -
SSmith: Problematic Pacer? (Sensing? - Pacing?) - October 19, 2022 -
Pendell: The Rhythm? (VT ARTIFACT- RA Electrode) October 21, 2022 -
SSmith: REPOST (3/28/2017) Serial T-waves-OMI - October 23, 2022 -
Pendell: The Rhythm? (Reentry SVT- RP' interval) October 25, 2022 -
SSmith: Abused Medic (Pacer- ST Elevation-OMI) - October 28, 2022 -
SSmith: was "Reading EKGs" (Swirl vs LVH- T-QRS-D) November 1, 2022 -
JesseM: 90yo with CP-Ab Pain (Diffuse Subendo Isch) November 4, 2022 -
SSmith: Bizarre ECG (Pulse-Tap Artifact-V1,V2- ME) November 8, 2022 -
Pendell: Elderly Woman (Simult. Leads-OMI-RBBB/LAHB) Nov. 11, 2022 -
Emre Aslanger: Sometimes STEMI not Enough - November 13, 2022 -
Pendell: Mistaken Ventricular Bigeminy (vs WPW) November 19, 2022 -
Pendell: 70m CP — Subtle OMI (KEY is lead V3) - November 23, 2022 -
SSmith: ST V1,V2-Trop 6500 (Brugada-Car Contusion) - Nov. 25, 2022 -
Pendell: 20f - Pericardial Effusion/Low Voltage) - November 28, 2022 -
SSmith: ED MD "Nothing much" (MINOCA- OMI) - November 30, 2022 -
SSmith: Hyperacute T waves? (Pulse-Tap Artifact!) December 5, 2022 -
JesseM: 65yo-Syncope (subtle- "Silent" OMI) - December 6, 2022 -
SSmith: 60yo-Shock- Unusual "hyperacute" -RAD ECG- Dec. 10, 2022 -
Pendell: On its Way from OMI to Reperfusion - December 12, 2022 -
Pendell: Marked LVH and acute LAD OMI - December 14, 2022 -
SSmith: WPW - Huge Delta Waves! (OMI?-DRichley) - Dec. 16, 2022 -
Pendell: 70yo "Eye-Catching" ECG (Aortic Dissection) - Dec. 18, 2022 -
Emre Aslanger: OMI (V1,V2,V3 off- post leads) - December 18, 2022 -
Emre Aslanger: OMI vs STEMI Philosophy in Action! - Dec. 22, 2022 -
SSmith: 30-something (subtle KEY Findings-OMI- ME) Dec. 23, 2022 -
SSmith: A diagnostic OMI that may look "nonspecific" - Jan. 2, 2023 -
Pendell: 50s,f- An OMI with Delay of Cath - January 6, 2023 -
Pendell: A Teenage Male with CP (OMI in Young Pts) Jan. 9, 2023 -
Pendell: 2 ECGs — Repol or OMI? (S. African Flag) January 12, 2023 -
SSmith: Subtle OMI (LA-LL - V1,V2 - Serial ECGs-OMI) Jan 15, 2023 -
— (This post published again on June 25, 2024 ! ) —
SSmith: Pulse-Tap Artifact (Links to other artifact) - January 17, 2023 -
JesseM: Hypothermia-Hypothyroid-Coma (BRogers) Jan. 21, 2023 -
Alex Bracey: The Hint from the ICD (Mirror Test-OMI) - Jan. 23, 2023 -
KG: MY CASE — A Long AV Wenckebach Cycle - Jan. 26, 2023 -
Pendell: CP in Middle-Aged F (Missed Acute OMI!) - Jan. 28, 2023 -
JesseM: Dueling OMIs (ME: Not to Miss this OMI) - Feb. 1, 2023 -
SSmith: Repost from 2020 (EMS ECG-Voltage cut! ) - Feb. 4, 2023 -
Pendell: 60s Man/CP (I review why OMI missed!) - Feb. 6, 2023 -
SSmith: What is ECG Diagnosis? (deWinter T-waves) Feb. 10, 2023 -
SSmith: What Going On in V2,V3? (subtle RVH! ) - Feb. 12, 2023 -
JesseM: Two 70s with CP (subtle OMI Findings) - Feb. 13, 2023 -
SSmith: CP & Many C/O (short QTc- Hyper-Ca++) - Feb. 17, 2023 -
Pendell: Man 40s, Ab Pain (Emery Phenomenon) - Feb. 23, 2023 -
SSmith: Hyperacute T waves (Me) Hyper-K PEARLS) - Feb. 27, 2023 -
Pendell: Anaphylax-CP-Diffuse Subendo Ischemia - March 1, 2023 -
SSmith: CP & SOB — S1Q3T3 & Acute PE Dx - March 4, 2023 -
SSmith: What to Think of ECG? (Me- Lots on OMI) - March 6, 2023 -
Pendell: Man in his 50s (OMI-TQRSD- Errors !!!) - March 9, 2023 -
SSmith: CP-Wellens on EMS ECG (Me- OMI) - March 13, 2023 -
SSmith: Strange about this PAF? ( = Slow AFib) - March 15, 2023 -
Pendell: 50yof with CP (Pulse-Tap Artifact) - March 17, 2023 -
SSmith: 50yom with CP (Not a "Non-STEMI" !) - March 19, 2023 -
Pendell: Teaching Others (Post OMI- Mirror) - March 21, 2023 -
JesseM: OMI sent Home (SSmith on Troponin) - March 24, 2023 -
SSmith: 40yo-OMI Delay (Mirror-leads III-aVL-RV) - March 27, 2023 -
KG-SSmith: Puzzling rhythm? (MY Case- Mobitz I)- March 30, 2023 -
SSmith: a STEMI-neg OMI (the PM Cardio APP) - March 31, 2023 -
— Great example of T-QRS-D in my comment …
SSmith: the PM Cardio APP (No OMI-abnl ECG-LVH) - April 2, 2023 -
JesseM: 70yo- OMI Delay (ME details Why OMI) - April 4, 2023 -
SSmith: Wenckebach + RBBB/LAHB (Trifascicular?) - April 6, 2023 -
Pendell: OMI with flat ST-T waves & CP Hx - April 9, 2023 -
Pendell: Man 60s: LVH-Strain vs Ant. OMI (Lead V4) - April 14, 2023 -
Pendell: Compare Case #1 & 2 (LVH Fake-deWinter) - April 17, 2023 -
JesseM: 50yo- "normal" ECG (Must correlate CP! ) - April 21, 2023 -
SSmith: 25ish with CP (Myocarditis- Cardiac MRI) - April 25, 2023 -
SSmith: 50yo CP (Post. OMI-Mirror - MY LINKS) - April 29, 2023 -
Pendell: 60f- large T waves (subtle AFlutter- ME! ) - May 1, 2023 -
KG-SSmith: An Unusual Bradycardia (MY Case) - May 5, 2023 -
Pendell: 70m-CP (Pacer ECG - obvious STEMI) - May 8, 2023 -
SSmith: 30f-Atypical CP-Neg CTCA (Wellens- ME!) - May 10, 2023 -
SSmith: Strange ECG? (Missed LA-RA Reversal! ) - May 13, 2023 -
— Initially missed the LA-RA Reversal/Nl variant ST elev./T inv. —
Pendell: 30s-m-CP (Not OMI - Pericarditis? - ME! ) - May 16, 2023 -
SSmith: 45-m-jaw pain (OMI from Hx + ECG - ME! ) - May 18, 2023 -
SSmith: Elder fall (Flecainide Toxicity-Wide QRS) - May 21, 2023 -
Pendell: 40s,m-CP (OMI- Ignore Computer-V1,V6) - May 23, 2023 -
SSmith: 20s-m (Verapamil OD-Laddergram-Mobitz I)- May 26, 2023 -
SSmith: 50s- (RV MI-Shock- LA-RA Lead Reversal) - May 30, 2023 -
SSmith: 67f- Acute Prox LAD OMI missed!-deWinter- May 31, 2023 -
Pendell: 30s - Regular WCT- ARVC (not RVOT VT! ) - June 3, 2023 -
SSmith: 40yo- Cardiology & computer missed OMI! - June 5, 2023 -
SSmith: 50f- CP-Peaked T Waves- Not OMI! (V1,V2) - June 6, 2023 -
— I was on vacation ... —
SSmith: DKA-Cardiomyopathy (Pt in a regular WCT) - June 23, 2023 -
KG: MY CASE: Isorhythmic AV Dissociation/PACs - June 26, 2023 -
SSmith: Young man Regular WCT (Antidromic AVRT) June 28, 2023 -
SSmith: Texted 2 serial ECGs (Dynamic Repol/BTWI) - June 30, 2023 -
SSmith: Texted Pt with CP (Bizarre ECG ==> HCM?) - July 5, 2023 -
SSmith: Texted 80yo-CP-SOB-QOH (RVH-post MI?) - July 7, 2023 -
SSmith: 60yo with CP (WHY it's Not OMI despite V3) - July 10, 2023 -
SSmith: Reading ECGs (Pseudonormalization- OMI!) - July 12, 2023 -
SSmith: 40yo-VFib (Post-ROSC ECGs- à la Shark Fin)- July 14, 2023 -
KG: MY CASE (+SSmith)To Try Adenosine? (Sinus Tach) July 19, 2023 -
Pendell: 70yo m-Syncope,Fever (Brugada Phenocopy) - July 22, 2023 -
SSmith: Mimic-Vertigo (ME - History needed for Interp! ) July 26, 2023 -
SSmith: Inf. ST Dep (Amphetamines- Type II MI- LVH) - July 27, 2023 -
Pendell: Post OMI (subtle Mobitz I — Ladder-PEARLS!) July 30, 2023 -
MHellerman: OMI Pocket Guide (https://omiguide.org/)- Aug. 3, 2023 -
SSmith: 1 Hour Lecture — Acute OMI by Dr. Smith! - August 6, 2023 -
JesseM: 14 hrs of CP: Reperfusion T-waves (PVC ST) - Aug. 10, 2023 -
Pendell: Subtle AFlutter-RVH (ME- Reg SVT-qR in V1) - Aug. 14, 2023 -
JesseM: 75yo-No CP (Silent MI- OMI- 5 Problems-ME) - Aug. 19, 2023 -
Pendell: 70f-CP-wax-waning (ME- Recognizing OMI) - Aug. 30, 2023 -
NOTE: I added Laddergrams re the Group Beating! —
SSmith: 50s-CP- subtle OMI (ME- Lead V1 ST elev.) - Sept. 1, 2023 -
SSmith: 50s-CP-OMI-890 (ME- Lead aVL T wave) - September 3, 2023 -
SSmith: Artifact + computer neg — ME = acute OMI! - Sept. 5, 2023 -
JesseM: 50yo in Remote place (OMI- Cards missed) - Sept. 8, 2023 -
Pendell: Judge for Yourself (ME - OMI not NSTEMI) - Sept. 10, 2023 -
SSmith: 40yo-Nonspecific Sx (short QTc- Hyper-Ca++) Sept. 12, 2023 -
SSmith: 60yo - APTA (Arterial Pulse Tap Artifact) - September 15, 2023 -
MagnusN: Acute Prox. RCA OMI (RV MI- Echo) - September 17, 2023 -
SSmith: Regular WCT (AV Dissociation-Fusion) - September 20, 2023 -
SSmith: Repol T Waves vs OMI (1 or 2 abnormal leads)- Sept. 22, 2023 -
MagnusN: OMI-ECG Dx (not Morphine) the Problem - Sept. 24, 2023 -
SSmith: Which Pt has More Severe CP? (OMI? )- September 26, 2023 -
MagnusN: Shark Fin — then VT, AVRT (ME-Rhythm) - Sept. 27, 2023 -
Pendell: Ectopic ATach — Emery — SVT Dx - September 29, 2023 -
Pendell: Repost — Acute OMI that was Missed (ME !) - October 1, 2023 -
MagnusN: Rhythm (AIVR usurps Mobitz I - LADDER)- October 3, 2023 -
SSmith: "Culprit" Artery? (ME - on unusual deWinter) - Oct. 6, 2023 -
MagnusN: Which Patient(s) Need Immediate Cath? - October 8, 2023 -
MagnusN: What Scenario BEST? (ME-Takotsubo) - October 12, 2023 -
SSmith: Was texted this ECG (ME- Subtle OMI ) - October 13, 2023 -
Pendell: Did You See? (ME- Low Voltage-subtle OMI) Oct. 16, 2023 -
SSmith: Repost- Oct. 13 (ME- Why QOH was Wrong) - Oct. 17, 2023 -
MagnusN: 20yof — Takotsubo- (ME - Torsades !!! ) - October 18, 2023 -
JesseM: 4 ECGs — Computer missed OMI !!! - October 19, 2023 -
SSmith: 70m with Resp. Distress (ME — SVT vs VT)- October 21, 2023 -
AlexBracey: Electrical & T-Wave Alternans (ME) - October 23, 2023 -
Pendell: ETOH-Cipro-Lytes (ME- LIST- long QTc!) - October 25, 2023 -
SSmith: AI YouTube Video (Drs. Kashou & Herman) - Oct. 26, 2023 -
SSmith: 20ish HCM (Hypertrophic CardioMyopathy) - October 28, 2023 -
SSmith: NSTEMI a Useless Term! (Lead V2 is KEY- ME)- Oct. 30, 2023 -
SSmith: RBBB with ST up in V2 - ME (Need Info! ) - November 1, 2023 -
SSmith: Man 70s — Died (deWinter T-Waves- LBBB) - Nov. 3, 2023 -
MagnusN: Wide QRS Similar to Prior (ME- paced OMI) - Nov. 5, 2023 -
SSmith: Intermittent LBBB (Memory vs Ichemia) - November 9, 2023 -
SSmith: 90yo-CVA (bizarre ECG- not OMI, not Mobitz I)- Nov. 11, 2023 -
SSmith: 62yo-CP (Serial and Old ECG invaluable! ) November 13, 2023 -
SSmith: 70f-CP (Pos. Trop- Neg. Cath- MINOCA- ME! ) - Nov. 16, 2023 -
SSmith: Dyspnea (RBBB- not PE but LV Aneurysm) - Nov. 18, 2023 -
SSmith: 63m-DKA,Dyspnea (Aslanger's Pattern- ME! ) - Nov. 22, 2023 -
JesseM: 45yo-CP (Serial ECG Changes but No OMI! ) - Nov. 27, 2023 -
Pendell: 2 Similar ECGs (LVH-"Swirl"- Truncation- ME!)- Nov. 29, 2023 -
AlexBracey: Teen with CP (OMI vs Myocarditis- Peds MI)- Dec. 5, 2023 -
SSmith: LINK to WEBINAR on Acute OMI (My Comment)- Dec. 5, 2023 -
My Retrospective Comment on June 18, 2013 post (Dec. 6, 2023) -
WillyFrick: SCAD- LAD OMI (ME — 5 Serial ECGs) - December 7, 2023 -
SSmith: 50yo-Syncope-No CP (Acute OMI mimic! ) - December 9, 2023 -
WFrick: 70sf — intermittent CP (ME - Correlate Sx-ECG!) - Dec. 11, 2023 -
SSmith: The Proportionality Concept (Low Voltage- ME! ) Dec. 13, 2023 -
MagnusN: Suble OMI (Cabrera- ST Elev. only in aVL) December 16, 2023 -
WFrick: T-QRS-D — MINOCA — Comparing ECGs-ME! - Dec. 19, 2023 -
SSmith: Is there an OMI on this ECG? (LCx OMI- ME! ) - Dec. 22, 2023 -
Pendell: Palpitations 20f (AFlutter @200/min- Schamroth) - Dec. 24, 2023 -
SSmith: HOCM getting an Angiogram (ME- Apical HCM) - Dec. 26, 2023 -
WFrick: False Reassurance from Repol. (ME- I see OMI! ) - Dec. 27, 2023 -
JesseM: CP but "No Ischemic Changes" (ME- subtle OMI) - Dec. 30, 2023 -
EAslanger: Use of Cannon Waves to diagnose VT-(ME!)- January 1, 2024 -
Pendell: EMS told "No STEMI" (ME- comparing ECGs) - January 3, 2024 -
WFrick: 3 Normal Troponins-CATH films! (ME- Morphine)- January 5, 2024 -
— — — — — — — — —
WFrick: RA-LL Lead — ME - LIST of Reversals - Artifacts - Jan. 6, 2024 -
— — — — — — — — —
SSmith: 40yof with CP & SOB (ME- acute PE ECG Dx) - January 8, 2024 -
MagnusN: How to Manage this Pt? (ME- on Why VT!) - January 10, 2024 -
WFrick: Atrial Pacing Troubleshooting (ME- FILTERs) - January 13, 2024 -
WFrick: Noisy, Low Amplitude ECG (ME- ARTIFACT) - January 15, 2024 -
JesseM: 2 Patients with CP (ME- My ECG "Mantras") - January 17, 2024 -
Pendell: 30yom- CP dx'd as NSTEMI (ME- deWinter) - January 20, 2024 -
MagnusN: "Slow- then Fast ..." (ME- Mobitz I vs II-Ladder)- Jan. 23, 2024 -
SSmith: CP with LVH and known CAD (multivessel CAD) - Jan. 25, 2024 -
JesseM: Should this "Nl" ECG Wait? (ME- definite OMI)- January 27, 2024 -
SSmith: CP in 40yom (Benign Saddleback vs OMI?) - January 29, 2024 -
SSmith: LV Aneurysm vs NOMI (ME- I can't be sure! ) January 31, 2024 -
Pendell: What is this? (ME- Huge Osborn Waves!) - February 2, 2024 -
SSmith: To implement QOH? (ME- OMI-Reperfusion) - February 4, 2024 -
Pendell: Teenager trauma (ME- Cardiac Contusion) - February 6, 2024 -
— — — — — — — — —
WFrick: Dyspnea in 90f (ME- PTA, Pacer- ARTIFACT) February 18, 2024 -
— — — — — — — — —
SSmith: 10 OMI Cases Computer Called Normal (ME! ) - March 4, 2024 -
SSmith: Irregular AIVR in GSW (Group Beating in AIVR! )- March 7, 2024 -
WFrick: Precordial Swirl (Fascicular Escape- Ladder) - March 22, 2024 -
MagnusN: VT in Patient with ARVD (ME- Epsilon waves) March 24, 2024 -
SSmith quotes ME: Regular WCT that is not VT! - March 28, 2024 -
Pendell: Another acute Post. OMI missed! (ME- Mirror)- March 31, 2024 -
MagnusN: CP in Young Man (Acute Myocarditis-Cabrera)- April 11, 2024 -
SSmith: RBBB/LPHB ( ME 11/12 leads = acute LAD OMI )- April 16, 2024 -
JesseM: 70m-Bayes Theory= Hx is KEY (ME-PVC = OMI) - April 19, 2024 -
SSmith: CP resolved: Need Cath? (ME- Wellens' Type A) - April 22, 2024 -
Pendell: Outperform STEMI Criteria (ME- within seconds!)- April 27, 2024 -
SSmith: What is the Rhythm? (ME- Hyper-K -neg T wave) April 30, 2024 -
SSmith: Shock/Nasty ECG (LMain- Shark Fin- Rhythm?) - May 3, 2024 -
SSmith: Young Man (orthodromic AVRT- AFib-WPW- ME) - May 8, 2024 -
SSmith: Why in Shock? (RV MI-OMI- AIVR- 10-sec. Dx-ME) May 10, 2024 -
Pendell: 60m- LAD OMI (Artifact-Filter- subtle ECG- ME) - May 18, 2024 -
JesseM: OMI missed by Cards (3rd-deg to subtle Mobitz I ) May 27, 2024 -
Pendell: 2 Patients — Neither is an OMI (I wasn't certain! ) - May 29, 2024 -
MagnusN: Not OMI — but instead RVH! (ME) — May 31, 2024 -
SSmith: 2 OMIs that were missed! (ME — AFlutter-Ladder)- June 3, 2024 -
Magnus: Nl Cath and CP (MINOCA- vagotonic block) - June 5, 2024 -
JesseM: Serial ECGs: What Sequence? (ME- Correlate!) - June 7, 2024 -
SSmith: Marked Hyper-K+ (ME- Is ECG #2 ARTIFACT? ) - June 10, 2024 -
Pendell: OMI Missed (ME — Repol Mimic- Why OMI) - June 11, 2024 -
SSmith: Malpractice on OMI missed! (ME- on Why/QOH)- June 13, 2024 -
WFrick: Telemetry ARTIFACT !!! (ME - LIST !!! ) — June 15, 2024 -
Pendell: Deadly Triage ECG Missed (ME- acute PE Table) - June 17, 2024 -
SSmith: 82yo with pacer, shock (ME- Pt had Pericarditis!) - June 19, 2024 -
SSmith: What to do for this Regular WCT (long RP' ?) - June 21, 2024 -
W.Frick: VFib-Need an ICD? (ME- similar to Wellens? ) - June 23, 2024 -
SSmith: Subtle OMI (LA-LL - V1,V2 - Serial ECGs-OMI) - June 25, 2024 -
— (This post previously published on Jan 15, 2023 ! ) —
Pendell: Syncopes, Pacer (ME- Complex AV Block) - June 27, 2024 -
SSmith: Cardiac Arrest (LBBB/OMI- Pt needs Cath/PCI) - June 29, 2024 -
WFrick: OMI in a Pt with Seizures? (ME- Bayes Theorem) - July 2, 2024 -
SSmith: Reg WCT with 2:1 (ME- AFlutter-calipers-Dig) - July 5, 2024 -
JesseM: Shows 2 Cases (ME- STEMI vs OMI Paradigm) - July 7, 2024 -
Pendell: Precordial Swirl after VFib 890 (ME- on Swirl ) - July 9, 2024 -
SSmith: Hans H Case — Bad Outcome (ME- Fam Med- OMI) July 11, 2024 -
Pendell: 2 Cases of "Swirl" (ME- Deep Dive on 2 Cases) - July 14, 2024 -
SSmith: 81m with CP — pseudo-ST elev. is 2:1 SVT- ME - July 16, 2024 -
Pendell: 80m, Paced (ME- What Kind of Pacing? - OMI?) - July 19, 2024 -
Magnus: Incessant VT (ME- LMCA on ECG; Quinidine) - July 21, 2024 -
SSmith: EMS OMI not Seen (ME- Serial Comparison! ) - July 23, 2024 -
KG: My 4 ECG/Rhythm Podcasts (for Anthony Kashou) - July 24, 2024 -
SSmith: 890 from Drug O/D (ME- DSI- 2-Step ECG Interp) - July 25, 2024 -
Magnus: Crochetage Sign- significant ASD (ME- Bayes) - July 28, 2024 -
SSmith: 2 ECGs — Is there acute OMI? (ME- deep dive! ) - July 30, 2024 -
WFrick: Ant. ST Elevation — Surprise Cath! (ME- RV MI) - August 2, 2024 -
Pendell: What does this ECG show? (ME- Pericarditis! ) - August 4, 2024 -
Magnus: 3 Pre-Hospital ECGs (ME- OMI-LBBB-Myocard)- August 6, 2024 -
WFrick: 46m with CP (ME- OMI on AIVR, LADDER) - August 9, 2024 -
JesseM: 75yo EMS-Acute LAD OMI (ME- Rhythm, OMI)- August 11, 2024 -
WFrick: Disappearing P waves? (ME- SA Block, LADDER) Aug. 14, 2024 -
Pendell: CP and a rare combination (ME- acute OMI-WPW) Aug. 16, 2024 -
Pendell: Back to Basics (Pacemaker Malfunction- ME) - August 19, 2024 -
SSmith: 69yo- CP- Sam Ghali (ME- RBBB,CABG- OMI)- August 20, 2024 -
Magnus: Bizarre wide QRS (ME- Brugada-1; PMVT) - August 23, 2024 -
SSmith: RUQ Pain- acute OMI- Tall R in V2; Women- ME- Aug. 26, 2024 -
Magnus: "Seizures" in 30f (ME- QTc- long QT LIST! )- September 2, 2024 -
— Torsades de Pointes (How to spell? )
Magnus: Ventricular Septal Rupture (ME- "Silent" MI) - Sept. 5, 2024 -
SSmith: 70m- Wellens' Syndrome (ME- Compare ECGs)- Sept. 7, 2024 -
WFrick: LAD OMI- Cath films! (ME- Precordial Swirl)- September 9, 2024 -
SSmith: Syncope-CPR (LV Aneurysm vs LAD OMI) September 11, 2024 -
Pendell: RBBB- acute LAD OMI (ME- on Serial ECGs) - Sept. 13, 2024 -
Magnus: Pause-dependent Torsades (ME- Ashman)- Sept. 16, 2024 -
SSmith: Neg Cath-no R/O OMI-IVUS (ME- Spasm? )- September 18, 2024 -
SSmith: Syncope during Exercise (ME- SVT at 280/min) - Sept. 20, 2024 -
WFrick: ST Elevation in III,aVR,V1 (ME - Acute PE)- September 23, 2024 -
Hans/SSmith: Cardiologys says "Normal" (ME- Errors! ) - Sept. 25, 2024 -
JesseM: 45yo woman (ME- hyperacute T, OMI - SCAD) - Sept. 27, 2024 -
SSmith: 50yo VFib (ME- Predict "culprit" not academic) - Sept 29, 2024 -
KG: MY CASE: (VT in a Sick Patient? = Sinus Tach) - October 1, 2024 -
SSmith: CP in a 30yo m (Looks like no OMI = "Fake" ) - October 3, 2024 -
SSmith: Belgium Case (ME- acute Post-Lat OMI) - October 6, 2024 -
SSmith: How Terrible Not to Recognize OMI (ME- Ant OMI)- Oct. 8, 2024 -
Pendell: If QOH was available (ME- interplay Post-RV OMI) - Oct. 10, 2024 -
BNichols: 91m (ME- No OMI-Osborn-flat II- RA-RL Reversal) Oct. 12, 2024 -
SSmith: Which of 2 Patients Need Cath? (ME- OMI or Not?) - Oct. 15, 2024 -
JesseM: CP & RBBB - OMI? (ME- ST segment baseline?) - Oct. 17, 2024 -
Magnus: ME- DSI evolves to complete LMain Occlusion! - Oct. 20, 2024 -
SSmith: Dr. Peyronie-FR. (ME-Repeat the ECG-acute OMI)- Oct. 22, 2024 -
Pendell: Computer misses long QTc (ME- flat long QTc-QU)- Oct. 24, 2024 -
SSmith: Prehosp Activation — Deactivated! (ME- acute OMI)- Oct. 27, 2024 -
Magnus: 6 Patients with CP + Saddleback STE- OMI? (ME) Oct. 30, 2024 -
SSmith: Thrombolytic to Treat this NSTEMI (ME-Rhythm-OMI) Nov. 1, 2024 -
Magnus: NSVT-Echo Beats-Retrograde (ME-LADDER) November 4, 2024 -
Magnus: Baseline Wander/Artifact (ME-acute OMI-Artifact!) - Nov. 8, 2024 -
Pendell: 70f awakened from Sleep (Test recognizing OMI!)- Nov. 10, 2024 -
WFrick: How Dangerous this ECG? (Mobitz I vs Mobitz II?) Nov. 12, 2024 -
SSmith: Prehosp Cath Lab Activation (ME- Missed OMI !!! ) Nov. 14, 2024 -
WFrick: Simulates BTWI (ME- OMI - not BTWI- 9 Criteria) - Nov. XX, 2024 -
SSmith: Type II MI or STEMI? (ME-Sinus Tach-LBBB-OMI) Nov. XX, 2024 -
SSmith: 10 Serial ECGs (ME- subtle OMI- Mobitz I; not II)- Nov. XX, 2024 -
SSmith: REPOST (6/17/2016) Truncated EMS ECG - Sept. XXX, 2022 -

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