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"Inferior" ST depression: What is the diagnosis? by Stephen Smith Posted in: Blog Posts in Heart Health This 58 year old man presented at noon with chest pain that began the previous evening and became constant less than one hour prior.  Now there is still sinu ... Read on »
2 hours of lecture from Sunday April 28 ECG Workshop - the Best of Smith at Best of Hennepin by Stephen Smith Posted in: Blog Posts in Heart Health This is most of the best stuff I have on subtle findings of coronary occlusion on the ECG. It starts with a 25 minute powerpoint lecture on the diagnosis of STEMI-equ ... Read on »
21 yo F with Syncope has Right Ventricular Hypertrophy and Pulmonary Hypertension by Stephen Smith Posted in: Blog Posts in Heart Health This 21 yo otherwise healthy woman, with a history of one episode of syncope 3 months prior, had onset of SOB, chest tightness, and epigastric pain, then was syncopal. ... Read on »
24 yo woman with chest pain: Is this STEMI? Pericarditis? by Stephen Smith Posted in: Blog Posts in Heart Health A 24 yo with no past medical history and no risk factors except for tobacco smoking presented with chest pain.  The pain started in her left chest at 6:20 AM and radiated ... Read on »
29 year old, healthy, with pleuritic chest pain by Stephen Smith Posted in: Blog Posts in Heart Health A 29 year old male presented with 6 hours of stuttering chest pain, constant for the last hour, worse with breathing.  He had no medical history.  W ... Read on »
30 Year Old with Cardiac Arrest, PEA, then Cardiac Ultrasound by Stephen Smith Posted in: Blog Posts in Heart Health A 30 year old collapsed after complaining of chest pain intermittently.  He was unconscious.  First responders thought they palpated a thready pulse. When medics arri ... Read on »
31 Year Old Male with RUQ Pain and a History of Pericarditis. Submitted by a Med Student, with... by Stephen Smith Posted in: Blog Posts in Heart Health This was submitted by a fantastic medical student who wished to remain anonymous: A 31 year old male with a history of viral pericarditis one year ago pre ... Read on »
35 yo woman with LAD occlusion manifesting with only hyperacute Ts and inferior ST depression by Stephen Smith Posted in: Blog Posts in Heart Health A 35 yo woman had the sudden onset of epigastric pain, more severe and different from her usual acid-related pain. She presented ambulatory. She had an ECG ordered by the tr ... Read on »
37 yo with 1.5 hours of burning chest pain by Stephen Smith Posted in: Blog Posts in Heart Health A 37 year old with a history of DM on metformin complained of acute onset of burning chest pain.  He called 911. They did an ECG but it is not available.  However, the med ... Read on »
4 mm of ST elevation in lead V2 (at the J-point) relative to PQ junction by Stephen Smith Posted in: Blog Posts in Heart Health A male in his 30's male complained of chest pain  while having a dental procedure, then became syncopal.  The patient is young and healthy, and thin.  He had no past medic ... Read on »
45 year old with chest pain by Stephen Smith Posted in: Blog Posts in Heart Health A 45-year-old male was in his usual state of health until three hours prior to arrival, when he developed left-sided chest pressure with radiation to the neck while walkin ... Read on »
5 hours of chest pain. How acute is the STEMI? by Stephen Smith Posted in: Blog Posts in Heart Health A male is his 30's with h/o HTN presented after 6 hours of chest pain.  The pain was crushing and substernal, associated with nausea, vomiting, and diaphoresis, radiating ... Read on »
55 year old woman with chest pain and precordial T-wave Inversions by Stephen Smith Posted in: Blog Posts in Heart Health This 55 year old woman presented with chest pain There is sinus rhythm.  There is ST depression and there are negative T-waves in V1-V4. There is also STE in ... Read on »
68 minutes with chest compressions, full recovery. Plus recommendations from a 5-member panel on... by Stephen Smith Posted in: Blog Posts in Heart Health The following is told with full permission of the patient, who is a paramedic who also started, owns and runs with his wife a company for teaching CPR.  He has taught CPR ... Read on »
A 16 year old girl has syncope while playing basketball..... by Stephen Smith Posted in: Blog Posts in Heart Health A 16 yo Female with no previous medical history had a syncopal event while playing basketball.  She arrived to the ED in severe respiratory distress, awake but agitated ... Read on »
A 20-something with palpitations and dizziness. What action will you take? by Stephen Smith Posted in: Blog Posts in Heart Health I have posted on this topic before, but whenever I think that readers completely understand it, I find there are still many who do not.  So I think it is worth the repet ... Read on »
A 29 year old male with pleuritic chest pain for 6 hours by Stephen Smith Posted in: Blog Posts in Heart Health This case was sent to me by Taylor Sanders of the LSU- Baton Rouge Emergency Medicine residency. A 29 year old complained of 6 hours of pleuritic chest pain ... Read on »
A 52 year old with palpitations by Stephen Smith Posted in: Blog Posts in Heart Health This case is from my friend Pierre Taboulet, who graciously allowed me to re-post it here.  He has a fantastic EKG site for anyone who reads French, and also a great ECG b ... Read on »
A Male in his 60s with Chest pain. What is the ECG Diagnosis? by Stephen Smith Posted in: Blog Posts in Heart Health Here is the ECG of a man with 2 hours of chest pain.  He had a history of MI with LAD stent.  I cannot find his prehospital ECG, but the medics did not activate the cath l ... Read on »
A Man in his 20's with Syncope. What is diagnosis? And what does the old ECG show? by Stephen Smith Posted in: Blog Posts in Heart Health A young man presented after a syncopal episode.  He felt fine in the ED.  He had no previous cardiac history, but stated that he does have an abnormal baseline ECG.  He ... Read on »