MG

@HealthSci_AI @MaruanCarlos Wrong answer

@MaruanCarlos The ECG you shared shows signs of atrial fibrillation, a common arrhythmia. Our AI Doctor Agent, Dr. CardioCore, who views hearts as inefficient pumps, would suggest further diagnostic tests to confirm and manage this condition.

Interesting ECG yesterday at the ER. What’s your take? #ECG #EPeeps #Cardiology #cardiotwitter

@BrooksWalsh @PMcardioApp @smithECGBlog Can @PMcardioApp tell if an ecg is suggestive of subendocardial ischaemia or does it identify such ecgs as stemi/stemi equivalent ?

@MaxG693 @PMcardioApp @smithECGBlog STE in V1 suggests "swirl." Shouldn't have STE there in plain ol' subendo/3VD. Good for QoH! This would have snuck by me on a busy shift.

60/M with SOB.. thoughts? @PMcardioApp interpretation is stemi equivalent.. Is this subendocardial ischaemia s/o TVD or Prox LAD ? @smithECGBlog @BrooksWalsh

@BrooksWalsh @PMcardioApp @smithECGBlog Great point.....thanks..

60/M with chest pain. Thoughts? @smithECGBlog @BrooksWalsh @EM_RESUS

@MattSegar AvL shows some amount of STe especially when conpared to lateral leads... Could be posterolateral

Interesting case with PMCardio - Queen of Hearts. On call today and paged to ED for chest pain. ECG looked completely “benign”. Clinical story suggested an ACS event. We decided to take him to the Cath lab anyways, but used the app to see if I missed anything. QoH noted a STEMI equivalent. Patient ended up having a LCx occlusion. Ended up buying a subscription to the app for that alone. @PowerfulMedical @MartinHerman_ @RobertHermanMD

50/M with chest pain V1 s/o irbbb and v2 s/o brugada pattern.. Thoughts? @adribaran @smithECGBlog @BrooksWalsh @AslangerE

Epsilon wave? Or just iRBBB 20/M with SOB, BP 160/90 @smithECGBlog @BrooksWalsh @EM_RESUS

@smithECGBlog What can the queens see in v5 that it says high confidence in v5 than compared to v4? To be honest i would ask for old ecg to compare but that would be jus because of v4.. But v5?? Can u explain.. Thx..

Here is the link to the blog post: drsmithsecgblog.com/chest-pain-thi…

Chest pain, this ECG, and an undetectable troponin after 6 hours of pain

32/M with chest pain... Thoughts? No old ecg available.. @smithECGBlog @BrooksWalsh @EM_RESUS

A patient walked into the casualty at GMC Goa demanding Inj Vit B12. B12 is not an emergency, it can be taken anywhere, even after days of delay. The CMO allegedly directed the patient to a CHC. Turns out, the patient was related to a journalist with direct access to Goa Health Min Vishwajit Rane. And then began the circus. Rane barged into the OPD like some low-budget Bollywood cop, dragging along his staff and a camera crew, publicly summoned the CMO, a respected doctor with years of public service and teaching, humiliated him in front of juniors, threatened him, and suspended him on the spot, without even bothering to hear his side. Now this minister has the gall to say he was “fighting for the poor”? Please. No poor person has the luxury of calling up a health minister directly. As per the media reports, the patient was a journalist’s relative, not some underprivileged soul struggling for access. Even if, for the sake of argument, the doctor had erred, there are official procedures to follow: hold an inquiry, issue a show-cause notice, let him respond, cross exam, and only then take disciplinary action if needed. What is this sadakchhap behavior? Learn to uphold the dignity of office instead of turning governance into a media circus. Trust me, if this had happened in Bengal, most of those defending Rane would have been howling for Mamata Banerjee’s accountability. But since it’s BJP and Goa, chalta hai. This isn’t done, Shri @narendramodi. This is not how elected officials are supposed to behave.

@smithECGBlog Any comments on ST depressions in anterior leads?

What is this rhythm? And what should we do about it? hqmeded-ecg.blogspot.com/2025/04/what-i…

32/F with c/o restless feeling... No prior ecg. Vitals stable. Thoughts? @smithECGBlog @BrooksWalsh @EM_RESUS

Is new onset RBBB (without any other abnormalities on ecg) in a chest pain patient an indication for PCI? @smithECGBlog

Triage ecg of 35/M with no additional details Tlthoughts? @smithECGBlog @BrooksWalsh @EM_RESUS @PendellM

30/M with chest pain... MI or brugada pattern? @smithECGBlog @BrooksWalsh @EM_RESUS @adribaran

18/M with chest pain. @smithECGBlog @BrooksWalsh @EM_RESUS @PendellM @ekgpress

@smithECGBlog @willyhfrick @PendellM @RobertHermanMD @DrRazi4 @DidlakeDW @EM_RESUS @EcgsOnly @FloydECGs @The_Nanashi_O @drbasitmasoodi Suspicious for Septal MI you mean?

This EKG is not normal, and is very suspicious, but it is not diagnostic without a clinical story. If you read thousands of EKG’s and remember only 1-2 % of patients coming to the emergency department with acute chest pain have a subtle OMI, you will see many EKGs that are non-diagnostic like this. I think you guys are so accustomed to seeing OMI with subtle EKG‘s posted on X that your pretest probability is far higher than it would be in real life ER. On X, everything is OMI. Would an emergency physician who sees thousands of undifferentiated chest pain patients activate the Cath Lab based on the EKG? No. You would get more EKGs, you would look for an old one, you would get more history, etc.

Acute chest pain. Machine read normal, signed unchanged by cardiologist. Do you agree?

@ekgpress AWMI... still acute changes seem to b present, urgent cath if active pain...

ECG is from a man with Chest Pain for 2 weeks; his worst episode a day earlier. His CP is less today, but still present. Initial Troponin over 10,000. — How to interpret this ECG? — Is this Wellens’ Syndrome? — GO TO — tinyurl.com/KG-Blog-453 —#ECG - #ECG_Ken_Grauer - #EKG — :)

@ecgrhythms Afib wpw

What do you think? Tweet ur reply if not in the choices AF RVR LBBB Ventricular tachycardia Preexcited tachycardia SVT with aberrancy/fixed LBBB

001 From the archives A 25 yo p/w palpitations and near syncope. What do you think? Poll next #FOAMed #meded #cardiology #cardiotwitter #Epeeps