Dr. Smith's ECG Blog

JANUARY 30, 2018

Thanks to one our great HCMC nurses, Ryan Burch. Electromechanical association: a subtle electrocardiogram artifact. He figured this one out. A dialysis patient presented with dyspnea. He was a bit fluid overloaded and not hyperkalemic. My answer, as I looked with bleary eyes at my phone: "I have to say I've never seen this one before."

Article 52

Article Nursing RN Circulation 52

Dr. Smith's ECG Blog

OCTOBER 26, 2011

In spite of aggressive questioning, he denied chest pain, but he did tell one triage nurse that he had had some chest burning, and so he underwent an ECG: There are deep Q-waves and QS-waves in precordial leads V2-V3, with a bit of R-wave left in V4. This 42 yo diabetic male presented with cough and foot pain. Lancet 1997;350(9078):615-9.

STEMI 52

STEMI Chest Pain Myocardial Infarction Angioplasty 52

EMS 12-Lead

MAY 20, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review and commentary by Dr. Steve Smith [link] @SmithECGblog It is early-summer, approximately 1330 hours, no cloud cover overhead, and 86 degrees with high humidity. A 59 y/o Female calls 911 for crushing chest discomfort and difficulty breathing.

Cardiomyopathy 52

Cardiomyopathy Ischemia STEMI Coronary Angiogram 52

Dr. Smith's ECG Blog

DECEMBER 5, 2022

It’s an intubated septic nursing home patient." Electromechanical association: a subtle electrocardiogram artifact. I received this ECG in a text message, with the message: "Hey, these look like hyperacute T waves to me, what do you think? Here is her old ECG:" What do you think? It might be another case of pulse tapping artifact.

Article 52

Article Chest Pain Circulation Electrocardiogram 52

European Journal of Heart Failure

JANUARY 27, 2025

Methods The ICM algorithm uses parameters derived from electrocardiogram (atrial fibrillation [AF], ventricular rate during AF, heart rate variability, and night heart rate), three-axis accelerometer (patient activity duration), and subcutaneous bioimpedance (fluid volume, respiration rate).

Heart Failure 40

Heart Failure Cardiomyopathy Atrial Fibrillation Outpatient 40

EMS 12-Lead

APRIL 8, 2022

David Didlake Firefighter / Paramedic Acute Care Nurse Practitioner @DidlakeDW Peer review by Dr. Stephen Smith @smithECGblog I was reviewing ECG’s in our LifeNet database and happened upon this one without any knowledge of clinical circumstances. The delayed action wave in non-ST-elevation myocardial infarction. 4] Yang, T., 5] Meyers, H.

Myocardial Infarction 52

Myocardial Infarction Coronary Angiogram STEMI Ischemia 52