Stephen W. Smith
@smithECGBlog
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EM Prof at Hennepin. Co-originator of #OcclusionMI (OMI) paradigm, ECG diagnosis of OMI, trained @pmcardio QoH. https://t.co/jutZW7fHFa… #ECG
Minneapolis
Joined June 2011
Introducing Dr. Smith’s ECG Blog 2.0! . The world’s #1 ECG Blog now features: .- smarter search (try “HATW in aVL”) .- email newsletter for new posts . Join over 200,000 monthly readers on our brand-new custom domain!
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Recurrent Seizure. Or was it syncope? Diagnosis made after 20 years. But then changed again!. @MagnusNossen
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Paramount bribes Trump in order to get a merger. Paramount to Pay Trump $16 Million to Settle ‘60 Minutes’ Lawsuit.
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The 2017 Trump tax bill was just as unpopular as this one, but no one remembered it. WE MUST REMEMBER THE 2025 BILL!. “An NBC/Wall Street Journal poll in 2017 found 24 percent of respondents support the 2017 bill, versus 41 percent opposed. And 63 percent say it was designed.
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Good work. Never wait for the troponin when the EKG is obvious (like this one), or even when it is subtle but diagnostic.
OMI/STEMI with first high-sensitivity troponin 18 (normal cut 12) - so basically normal. Proven at angiography with multiple stents. We have to first trust the EKG and clinical picture. @ECGcases @smithECGBlog @amalmattu
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July 1, 2025. From the reporters’ gallery above the floor, CNN’s Sarah Ferris heard Senator Angus King (I-ME) yell to his Republican colleagues: “Shame on you guys. That was the most disgusting vote I’ve ever seen in my life.”.
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This one is even more difficult because of atrial fibrillation with aberrancy.
@DrRajeshG1 @syamkumarmd One of the highest risk OMI/STEMI equivalent patterns there is. LAD OMI causing ischemic RBBB/LAFB. Often mistaken for VT, delaying understanding that it’s OMI. Steve and I have spent years cataloguing and posting this case on the blog. But anyone with any level of training
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No offense taken! It was a very good case to put up here. I just want to make the point that you really have to take pretest probability into account. I just do not consider this one an EKG false positive.
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This was the one that was posted earlier and called a queen of hearts false positive by @LeonrMail . However, you still need to be a doctor when using the @pmcardio queen of hearts AI model. Thus, she always asks if there is a “clinical suspicion of acute coronary syndrome.” This
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RT @TheJenniWren: “I represent 67,000 pediatricians, and let me be clear: this bill will devastate children’s health,” said Dr. Susan Kress….
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RT @ewarren: Here are 10 ways that Trump’s Big Ugly Bill will make your life more expensive:. 1. Your utility bills go up as we lose clean….
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RT @AntiTrumpCanada: When a neighbor’s house is on fire, you can’t help but notice the smoke.
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Feel safer now?.
ICE blasts through door using explosives, armored vehicle & drone—all 3 people in house were U.S. citizens. Agents did not knock or give warning—immediately set off explosives & flew in a drone. "I just heard the loudest blast of my life," she said. "You didn’t have to do this.
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RT @Timodc: “An Iranian woman who has lived in the United States for 47 years, has no criminal record, and is married to a US citizen was d….
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RT @m1db: @allenanalysis SCOTUS just made him Dictator for Life by neutering the Federal Courts. No telling what he will do now. they keep….
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