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Stephen W. Smith
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Stephen W. Smith
@smithECGBlog
EM Prof at Hennepin. Co-originator of #OcclusionMI (OMI) paradigm, ECG diagnosis of OMI, trained @PMcardioApp. scholar.google.com/citations?hl=e… #ECG
Minneapolis
drsmithsecgblog.com
Joined June 2011
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    Stephen W. Smith
    @smithECGBlog
    Jun 28, 2025
    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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    31K
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    Stephen W. Smith
    @smithECGBlog
    Oct 15, 2021
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    Stephen W. Smith
    @smithECGBlog
    Dec 13, 2022
    People always ask me how to persuade cardiologist to take a patient to the Cath Lab. My residents turned my answer into a humorous meme.
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    Stephen W. Smith
    @smithECGBlog
    Jul 23, 2022
    A medical student who is rotating told me that STEMI/Non-STEMI is being replaced by OMI/NOMI and asked me if I had heard of that. @PendellM
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    Stephen W. Smith
    @smithECGBlog
    Aug 3, 2023
    Introducing the OMI Pocket Guide. Smith ECG Blog Posts organized into an amazingly educational collection, with examples of each type of subtle OMI and of mimics. Also on the banner at the top for easy access any time hqmeded-ecg.blogspot.com/p/omi-pocket-g…
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    135K
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    Stephen W. Smith
    @smithECGBlog
    Jan 4, 2024
    Replying to @trainwithtish and @DustyB122
    You think you are thinking for yourself. But you are mimicking the ignorance of so many others who spout disinformation. Your “rebellious” thinking is conformity to ignorance.
    7.6K
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    Stephen W. Smith
    @smithECGBlog
    Aug 20, 2020
    Someone just texted this EKG to me from far away in U.S. Chest pain & vomiting. Cardiologist says "not a STEMI" and shows nothing. But it is diagnostic of inferior OMI. "Work up the patient for a PE," he says (!). These cases come to me all the time and it makes me sick.
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    Stephen W. Smith
    @smithECGBlog
    May 5, 2022
    Another deadly and confusing ECG. Are you still one of the many people who will be fooled by this ECG, or do you recognize it instantly? @PendellM hqmeded-ecg.blogspot.com/2022/05/anothe…
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    Stephen W. Smith
    @smithECGBlog
    Jan 9, 2023
    A teenager with chest pain, a troponin below the limit of detection, and "benign early repolarization" hqmeded-ecg.blogspot.com/2023/01/a-teen…
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    238K
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    Stephen W. Smith
    @smithECGBlog
    Sep 19, 2022
    This ECG is nearly pathognomonic. What is it? (hint: it's not Wellens') hqmeded-ecg.blogspot.com/2022/09/this-e…
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    Stephen W. Smith
    @smithECGBlog
    Nov 12, 2021
    A 19 year old with panic attacks. On the previous ECG, the diagnosis was missed, as it frequently is! hqmeded-ecg.blogspot.com/2021/11/a-19-y…
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    Stephen W. Smith
    @smithECGBlog
    Feb 4, 2022
    Chest pain: This ECG was interpreted as completely NORMAL by the computer: What is the diagnosis, and what about it is THE critical finding (missed by the computer)?? hqmeded-ecg.blogspot.com/2022/02/this-e…
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    Stephen W. Smith
    @smithECGBlog
    Aug 6, 2023
    Lecture by Smith: Selected Cases of Occlusion MI (OMI), or not, on the ECG hqmeded-ecg.blogspot.com/2023/08/lectur…
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    99K
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    Stephen W. Smith
    @smithECGBlog
    Sep 24, 2025
    See this letter from the Editor of Annals of EM, about our article "ECG Patterns of Occlusion Myocardial Infarction: A Narrative Review. The article has been downloaded over 65,000 times as of Sept 9. "Your manuscript is the most downloaded in our journal for this year – by far
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    35K

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