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Stephen W. Smith

@smithECGBlog

EM Prof at Hennepin. Co-originator of #OcclusionMI (OMI) paradigm, ECG diagnosis of OMI, trained @PMcardioApp. https://xitter.twitterapi.xyz/t.co/SorPm0q4od

 Minneapolis
drsmithsecgblog.com
Joined June 2011
  • Tweets13.1K
  • Following558
  • Followers55.8K
Take this Hyperacute T-wave Quiz, created by Ahmed Marai. Dr. Smith and the Queen of Hearts both got 30/30 correct How will you do? After you finish, you get your results and a link to a pdf with full explanations. @PMcardioApp @PendellM @RobertHermanMD drsmithsecgblog.com/hyperacu…
Image from Stephen W. Smith (@smithECGBlog)
Image from Stephen W. Smith (@smithECGBlog)
Image from Stephen W. Smith (@smithECGBlog)
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A 50-year-old with a normal ECG and troponin – Safe or Sorry? –so many learning points on this one, including lots of discussion on takotsubo. Is this takotsubo? drsmithsecgblog.com/a-50-yea… @PMcardioApp @willyhfrick @TheECGMedic
Image from Stephen W. Smith (@smithECGBlog)
Image from Stephen W. Smith (@smithECGBlog)
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Replying to @saidalzou @RobertHermanMD @Ecgloverr @NisshaNasir
@saidalzou @RobertHermanMD @Ecgloverr @NisshaNasir
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A 30-something patient with chest pain, resolved after a “GI cocktail.” And even if an ECG is non-diagnostic, must at least one troponin be measured? @PMcardioApp drsmithsecgblog.com/a-30-som…
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Please take this important survey about which ECG findings Emergency Medicine clinicians believe warrant urgent senior medical review. Link to survey is on this blog post. #emergencymedicine #emergencyroom @louiseacullen @PendellM @RobertHermanMD drsmithsecgblog.com/please-t…
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First EKG? 2nd EKG? drsmithsecgblog.com/first-ek…
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Chest pain in a 70-something male. drsmithsecgblog.com/chest-pa… @PMcardioApp
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Pneumonia, hypotension, and large RV on bedside ultrasound. How to avoid the right sided death spiral? drsmithsecgblog.com/pneumoni…
Image from Stephen W. Smith (@smithECGBlog)
Image from Stephen W. Smith (@smithECGBlog)
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Acute pulmonary edema. Why? With a 2nd case also drsmithsecgblog.com/acute-pu… @PMcardioApp
Image from Stephen W. Smith (@smithECGBlog)
Image from Stephen W. Smith (@smithECGBlog)
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Replying to @MubarakAlhatemi
@PMcardioApp states 89.4% for "ARHS" (Acute right heart strain). That is, pulmonary embolism or other pathologies that cause sudden increase in pulmonary artery pressure.
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This documentary is very moving and shocking. Please spread the word. Send to friends. The $10.00 streaming fee will make it possible to lengthen the documentary to a full size and to show funders that it is successful.
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Stephen W. Smith (@smithECGBlog) profile pictureStephen W. Smith@smithECGBlogOct 20
Please stream this video my wife & I had a small part in producing. 40 min about the invasion of Minneapolis by ICE, brutalizing people of color & the neighbors trying to help & protect them. $10.00 to help make it successful. Offline Sat 10/24! twincitiesfilmfest.org/film-…

A Month In Minnesota - Twin Cities Film Fest

twincitiesfilmfest.org
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50 something male with acute chest pain drsmithsecgblog.com/50-somet… @MagnusNossen @PMcardioApp
Image from Stephen W. Smith (@smithECGBlog)
Image from Stephen W. Smith (@smithECGBlog)
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Jared, Kushner and Steve Witcoff have a direct financial interest in keeping Russian oil flowing and refineries in good shape. They are in direct conflict with American interests. This is one reason why they don’t care about Ukrainians being killed.
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Bill Kristol (@BillKristol) profile pictureBill Kristol
@BillKristolOct 14
Trump and Musk are doing their best to help Putin kill Ukrainians. kyivindependent.com/this-can…
'This cannot be a coincidence' — Ukraine's Starlink access restricted without warning, Zelensky...

'This cannot be a coincidence' — Ukraine's Starlink access restricted without warning, Zelensky...

Ukraine relies on Starlink to operate its mid-strike drones in Russian-occupied Ukraine. SpaceX CEO Elon Musk said that only the U.S. president has the right to determine speed and usage restrictions...

kyivindependent.com
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New OMI Literature Timeline on the blog. 135 of the most important ones, and growing every year. drsmithsecgblog.com/omi-lite… @PendellM
Image from Stephen W. Smith (@smithECGBlog)
Image from Stephen W. Smith (@smithECGBlog)
Image from Stephen W. Smith (@smithECGBlog)
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We have been locked in that car
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Is this OMI, Subendocardial ischemia, LVH, or some combination? You can see the results of an experimental PMcardio Queen of Hearts model for OMI mimics. drsmithsecgblog.com/is-this-… @PMcardioApp
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Replying to @Running0nmt @PMcardioApp
Absolutely correct! No exaggeration! 27 yo F w acute pulm edema, then VF arrest. Team of cardiologists refused to do angiogram because she "couldn't possibly have MI at 27yo". After trop peaked at 500,000, they did it & found a 100% Left main occlusion. Died. @PMcardioApp
Image from Stephen W. Smith (@smithECGBlog)
Image from Stephen W. Smith (@smithECGBlog)
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Replying to @EcgOxford @akneton @yolyabreuh @UlhasDr @DidlakeDW @ecgrhythms @IhabFathiSulima @DrPharmDMDTh @Vadeboncoeur_Al @EM_RESUS @estudiomedicina @OrlandoRPN @fxgodzeuss @ResusMed @TrRja @NaokiThukishima @ecgandrhythmRoe
Acute inferior OMI, in spite of QS-waves.
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Increasing ST Elevation. MI ruled out. Must be pericarditis, right? drsmithsecgblog.com/increasi… @willyhfrick @PMcardioApp
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