Dr. Smith ECG Blog (Comments before 5-24-2018)

NOTE: From end-May, 2018 — until end-December, 2020 — I regularly wrote a "My Comment" FEATURE on Dr. Smith's ECG Blog. Prior to that time (from 2012-May, 2018) I frequently added comments as an avid reader to Dr. Smith's posts. Links to those comments appear below.
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Comments I made on Dr. Steve Smith's Blog (as an avid reader ):

  • Chest Pain & Flu (STEMI vs Localized Myocarditis)  March 18, 2016 -
  • Acute Prox LAD Occlusion (RBBB/LAHB- Lambda) — March 21, 2016 -
  • Pathognomonic ECG (long QT, peaked T — Ca++) — March 24, 2016 -
  • Acute LMain Occlusion (ECG recognition) — March 26, 2016 -
  • Acute STEMI despite Permanent Pacing — April 2, 2016 -
  • Resuscitation Pearls / LCx vs RCA "Culprit" — April 17, 2016 -
  • DeWinter-like T waves — Should NOT be Missed! — April 20, 2016 -
  •    10 Examples to TEST Recognition (Ant. T Waves) — April 23, 2016 -
  •    10 Examples of Inferior Hyperacute T Waves — May 1, 2016 -
  • ECG Distinction between Acute Pvs Chronic RVH — May 27, 2016 -
  • Fusion, Capture beats: "2 Wrongs may make a Right" — June 3, 2016 -
  • RBBB and SElevation (new STEMI vs LAneurysm) — June 6, 2016 -
  • Hyperacute Inf. T Waves or Reciprocal SChanges — June 10, 2016 -
  • Anterior STEMI vs Benign Early Repolarization? — June 17, 2016 -
  • The Computer Missed WPW (re the Concertina Effect) — June 20, 2016 -
  • Terminal QRS Distortion with Acute LAD Occlusion — June 24, 2016 -
  • Acute Inferior STEMI — or IIt? — July 1, 2016 -
  • Acute Anterior Stemi, Saddleback, Early Repol? — July 8, 2016 -
  • Convex SElevation not due to STEMI — July 14, 2016 -
  • WCT in a 12-Year Old — July 20, 2016 -
  • ST Elevation in V1,V2 — RV MI, Brugada or Hyper-K ? — July 24, 2016 -
  • Bifascicular vs Trifascular Block / Acute Changes? — July 30, 2016 -
  • Proportionality of ST-T and the QRS (Ant. STEMI ) — August 5, 2016 -
  • Is this Brugada-1 or a Saddleback? (syncope) — August 10, 2016 -
  • Bidirectional VT vs AVNRT with Alternating RBBB? — August 25, 2016 -
  • RVH vs RBBB vs Both? -Acute PE? (large RV on Echo) — Sept. 1, 2016 -
  • Subtle LCOcclusion or Not? — Sept. 4, 2016 -
  • LAD Occlusion vs Early Repol (interpolated PVC) — Oct. 18, 2016 -
  • Right Precordial T Wave Inversion (benign) — Dec. 5, 2016 -
  • Changing ST Elevation Distribution (Spasm) — Dec. 7, 2016 -
  • Computer Reads "Non-specific" Abnormalities — Dec. 10, 2016 -
  • Cabrera Format at 50mm/sec (a patient with chest pain) — Dec. 29, 2016 -

  • LVH with Marked SDepression + Chest Pain — Jan. 6, 2017 - 
  • Wide Tachycardia with Cyanosis (VT vs SVT ...— Jan. 10, 2017 -
  • LBBB, Chest Pain and Evolving ST-T Changes — Jan. 20, 2017 -
  • Fast SVT in a Child (rate ~220/minute) — Jan. 22, 2017 -
  • Cocaine Overdose and Brugada ECG Pattern — Jan 25, 2017 - 
  • Group Beating & Hyperkalemia (Brugada Phenocopy) — Jan. 27, 2017 -
  • Use of the ECG with Severe DKA (U waves) — Feb. 2, 2017 -
  • Inferior MI, LVH or Both? (a patient with chest pain) — Feb. 5, 2017 -
  • ST Elevation, Neg Troponin but NOT Early Repol! — Feb. 10, 2017 -
  • Subtle Use of Smith-Sgarbossa Criteria with LBBB — Feb. 20, 2017 -
  • Unstable WCT not responding well to Cardioversion — Feb. 23, 2017 -
  • 40yo Man with Chest Pain and "Funny" ST-T Waves — March 1, 2017 -
  • Another 40yo Man with Chest Pain (recurring "theme" ) — March 3, 2017 -
  • Impending LAD Occlusion (recognizing subtle Wellens) — March 9, 2017 -
  • Do Computerized Interpretations Miss Acute STEMI? — March 10, 2017 -
  •   — Related Post: EMS 12-Lead (on Triaging ED ECGs) — March 11, 2017 -
  • VT vs SVT with Aberration in a 20yo with DKA - March 17, 2017 -
  • T Peaking and "Pseudo-Infarction" with Dehydration - March 19, 2017 -
  • Alternating Fascicular Block Aberrancy (and LSFB! ) - March 31, 2017 -
  • RBBB with Transient ST Elevation (Rhythm?) - April 2, 2017 -
  • Acute or Recent Anterior MI vs LAneurysm? - April 21, 2017 -
  • 16yo Girl with Overdose: LBBB vs WPW? - April 23, 2017 -
  • 40yo Woman with Chest Pain (KEY subtle findings! ) - April 27, 2017 -
  • LVH Pseudo-Infarction Pattern vs Wellens? - May 3, 2017 - 
  • ST Elevation in V1,V2 in a Patient with LVH - May 6, 2017 -
  • TQRSD (Terminal QRS Distortion) - May 13, 2017 - 
  • Dialysis Patient with Bradycardia ... - May 18, 2017 -
  • Acute STEMI in a post-Op Paced Tracing - May 19, 2017 -
  • "Busy at Triage" (subtle-but-real LCx signs ... ) - May 26, 2017 -
  • Chest Pain, GE Reflux and Subtle ST-T Wave Changes - May 29, 2017 -
  • ST Elevation + Reciprocal Change due to? (MI vs K+?) - June 1, 2017 - 
  • Peaked T Waves in 35yo with DKA/Something Else? June 17, 2017 -
  • Peaked T waves in a 20yo. Anything Else? - June 21, 2017 - 
  • Pulmonary Edema on Echo + Interesting ECG LVH - July 7, 2017 -
  • Subtle ECG Changes in an 82yo with Syncope - July 12, 2017 -
  • ADissociation: Default/Usurpation (See Ref to me on 7/17/2017-SSmith) -
  • The Computer says, "AFib". Do you agree? - August 11, 2017 - 
  • Effect of Adenosine on this Rhythm? (AFlutter? ) - August 23, 2017 -
  • To Thrombolyse after 15 Hrs of Chest Pain? - Sept. 1, 2017 -
  • DeWinter T Waves / AIVR - Sept. 24, 2017 - 
  • A 30yo Woman with Chest Pain. Is her ECG Normal? - Sept 30, 2017 -
  • VT or Supraventricular with LBBB? - Oct. 14, 2017 -
  • Syncope in an Elderly Man ( ? Wellens ? Oct. 25, 2017 -
  • Chest Pain but a Non-Diagnostic ECG ... Nov. 1, 2017 -
  • How to Convince the Cardiologist ??? - Nov. 6, 2017 - 
  • Chest Pain & a "Normal ECG" by Computer Report - Nov. 10, 2017 -
  • 50yo with Chest Pain (Concept of "Competing Conditions") - Nov 15, 2017 -
  • 30yo with Chest Pain and this ECG (S1Q3T3; IRBBB,ST) - Nov. 22, 2017 -
  • About the QTc Interval (Using the Rule of Thumb for QTc) - Nov. 24, 2017 -
  • RBBB, Missed Occlusion on ECG, What is the Rhythm? - Nov 25, 2017 -
  • Subtle Abnormality in a 54yo with Chest Pain - Nov. 27, 2017 -
  • Post Cardiac Arrest ECG (Acute MI vs something else?) - Nov. 30, 2017 -  
  • Why the Inf. ST Depression? What's the Rhythm? - Dec. 1, 2017 - 
  • 30yo with Pulmonary Hypertension and this ECG - Dec. 13, 2017 -
  • Challenging Wide Rhythm (Syncopal patient) - Dec. 16, 2017 -
  • Wellens' ST-T Waves or Something Else? - Dec. 18, 2017 -
  • Serial Tracings tell the Tale (Cancellation Effect) - Dec. 23, 2017 -
  • Not a "STEMI", but NOT Normal! (Ed Burns, LITFL) - Dec. 27, 2017 -
  • Subtle Findings in a Patient with Chest Pain - Dec. 29, 2017 -

  • There is nothing subtle about this ... Right? - Jan. 2, 2018 - 
  • Acute MI or Something Else? - Jan. 5, 2018 -
  • SElevation: STEMI vs Early Repol vs Pericarditis? - Jan. 8, 2018 -
  • Use of Terminal QRS Distortion (acute stemi- AIVR) - Jan. 11, 2018 -
  • Chest Pain and ST Elevation (old inf MI? Pericarditis?) - Jan. 17, 2018 -
  • Repolarization Variant? LVH? and/or Acute STEMI? - Jan. 24, 2018 -
  • STEMI? Need for Acute Cath? — or Not? - Jan. 26, 2018 - 
  • The Importance of Comparison Tracings (subtle! ) - Jan. 28, 2018 -
  • Artifact in a Dialysis Patient (Not hyperacute ST-T ! ) - Jan. 30, 2018 -
  • Subtle Changes in a Patient with CP (but no doubts! ) - Feb. 1, 2018 - 
  • Acute LCOcclusion despite Non-Diagnostic ECG! — Feb. 5, 2018 -
  • Cardiac Trauma — Now ST Elevation (on Pericarditis) — Feb. 7, 2018 -
  • LBBB + CP — Is there Acute Coronary Occlusion? - Feb. 11, 2018 - 
  • Subtle Abnormality (in leads III,T inversion in aVL) - Feb. 15, 2018 -
  • What's the Temperature? (from an unresponsive woman) - Feb. 19, 2018 -
  • Hyperacute ST-T Waves in an evolving STEMI - Feb. 22, 2018 -
  • RBBB with Subtle Ischemic Changes ... - Feb. 24, 2018 -
  • Diffuse SDepression + SElevation in aVR - Feb. 28, 2018 -
  • Anterior ST Elevation: To Activate or Not? - March 5, 2018 -
  • Alcohol Withdrawal + a very Long QTc - March 8, 2018 -
  • Seizure + a somewhat long QTc Interval - March 9, 2018 - 
  • A Pattern To Recognize! ( = Acute PE! ) - March 12, 2018 -
  • LBBB Criteria Redefined? Acute STEMI? - March 14, 2018 -
  • Not Wellens, but V1,V2 Too High on Chest March 16, 2018 -
  • STEMI vs Pericarditis/Early Repol - May 14, 2011/March 18, 2018 -
  • SVT & Retrograde Atrial Activity (AVNRT vs AVRT?) - March 20, 2018 -
  • You had 2 Hours to Save this Patient (missed STEMI ) - March 24, 2018 -
  • Tale of 2 STEMIs- Step-by-Step (computer report) - March 27, 2018 -
  • NOT an OMI despite HUGE Anterior S Waves! (Superb! ) - April 4, 2018 -
  • Regular Wide Tachycardia due to HyperKalemia! - April 6, 2018 - 
  • ST Elevation + Hyperthyroidism + LVH + Repol April 9, 2018 - 
  • U Wave Inversion — Clinical Significance ... - April 14, 2018 -
  • RBBB with HyperKalemia — Anything Else? - April 16, 2018 -
  • Pseudonormalization of ST-T wave and QRS changes - April 20, 2018 -
  • Subtle Hyperkalemia on Serial ECG Findings ... April 22, 2018 -
  • Isolated ST Elevation in aVL (cardiac spasm) - April 23, 2018 -
  • Cardiac Arrest / "Shark Fin" SElevation (Me on ETT ) - April 25, 2018 -
  • Abnormal T (U) Waves in an Alcoholic - May 4, 2018 -
  • Fascicular VT vs Bundle Branch Reentrant VT - May 8, 2018 -
  • ADissociation in a Young Man (AV block? ) - May 11, 2018 -
  • Isolated Posterior STEMI (Mirror Test - LCx) - May 19, 2018 -
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