ecg preexcitation 
Ken Grauer, MD
MARCH 29, 2023
The ECG in Figure-1 is from a man in his 30s — who overall has been healthy, except for a history of "intermittent palpitations" that he has had since childhood. He was hemodynamically stable with ECG #1. Figure-1: The initial ECG in today's case. To improve visualization — I've digitized the original ECG using PMcardio ).
Dr. Smith's ECG Blog
MAY 30, 2024
Written by Magnus Nossen, with some edits by Smith This ECG was transmitted electronically by EMS for evaluation. How would you interpret the ST changes seen in this ECG? Will you accept this patient for emergent coronary angiogram based on the ECG changes? Does the ECG represent STEMI-negative OMI findings?
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Dr. Smith's ECG Blog
NOVEMBER 19, 2022
1] If we look at the patient’s previous EKG on record, we’re able to see that this pattern is not new: Interestingly, the patient does appear to have PVCs in this ECG as well as WPW beats. On the previous ECG, the diagnosis was missed, as it frequently is! I thought the ECG diagnosis was obvious. But many missed it. As per Drs.
Dr. Smith's ECG Blog
OCTOBER 13, 2022
There were no prior ECGs, the first ECG was signed off as unremarkable, and the patient waited to be seen. An hour later the first troponin returned at 49 ng/L (normal <16 in females and <26 in males), so the patient was brought into an acute bed and the ECG was repeated, with ongoing symptoms. What do you think?
Dr. Smith's ECG Blog
DECEMBER 16, 2022
mm) in V2 and V3, suggestive of RBBB with posterior OMI Whenever you see abnormal ST-T (ST elevation, ST depression, hyperacute T-waves), you MUST look at the entire ECG (rhythm, rate, P-waves, intervals, and QRS) to see if there is some abnormality among these which can explain the ST-T. Would you have recognized the acute posterior OMI?
Dr. Smith's ECG Blog
APRIL 24, 2022
The ECG there reportedly showed an irregular tachycardia, and the patient was immediately referred to the emergency room. Here is her ECG on arrival: There is a wide complex tachycardia that is irregularly irregular (this is difficult to determine at these very high rates). Figure-1: The initial ECG in today's case.
Dr. Smith's ECG Blog
OCTOBER 8, 2023
Triage is backed up, and 10 minutes into your shift one of the ED nurses brings your several ECG s that has not been overread by a physician. ECG#1 ECG#2 ECG#3 ECG#4 ECG#5 See outcomes of all 5 below, with the Queen of Hearts AI Bot interpretation. (THE True Positive ECG#2 : Also sinus rhythm.
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