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.
=====================================
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; the Angiogram was Not! - August 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 -
- 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 -
- 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 -
- 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 -
- JesseM: Acute Post OMI despite WPW! - October XXX, 2022
- SSmith: Activate the Cath Lab? (LVH-V1,V2-BTWI) Oct. XXX, 2022 -
- Pendell: Cardiac Arrest & STE (Acute PE on ECG) Oct. XXX, 2022 -
- SSmith: REPOST (6/17/2016) Truncated EMS ECG - Sept. XXX, 2022 -
- SSmith: REPOST (3/28/2017) Serial T-waves-OMI - Sept. XXX, 2022 -
- SSmith: Hyperacute T waves (Me) Hyper-K PEARLS) - Aug. XXX, 2022 -
- SSmith: What is ECG Diagnosis? (deWinter T-waves) June AFTER Pendell?
- SSmith: Is there T-QRS-D (Terminal-QRS-Distortion)? - August XXX, 2022 -
- SSmith: Wenckebach + RBBB/LAHB (Trifascicular?) August XXX, 2022 -
- SSmith: 60yo-Shock- Unusual "hyperacute" -RAD ECG- Aug. XXX, 2022 -
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