An ECG sent to me with concern for hyperacute T-waves
Written by Pendell Meyers A woman in her 70s with diabetes, hypertension, and hyperlipidemia suddenly developed nausea, diaphoresis, and brief…
Editorial by Meyers and Smith, full text: Prospective, real-world evidence showing the gap between ST elevation myocardial infarction (STEMI) and occlusion MI (OMI)
Read this full text article on the OMI paradigm, from International Journal of Cardiology: Prospective, real-world evidence showing the gap…
Elderly with Paced Rhythm, Possible Ischemic symptoms, and an Equivocal Smith Modified Sgarbossa ECG
An 80 year old presented with a couple days of SOB, weakness, and diaphoresis. There was no chest pain. Here was her initial ECG: What…
Acute Chest pain in a 50-something, and a “Normal” ECG
Chris Mondie of the Newark Beth Israel Emergency Medicine Residency sent this case A 50-something man presented with acute…
5 Cardiologists said this is not a STEMI. But was it an OMI?
Written by Pendell Meyers A male in his early 50s presented with waxing and waning chest pain starting at rest. He had multiple cardiovascular…
The ECG was correct. The angiogram was not.
This was sent by Cam Mosley and Michael Truax, LSU-Baton Rouge Residency. 74 yo male with previous MI years ago presented with chest pain and…
How does Acute Total Left Main Coronary occlusion present on the ECG?
Post by Smith and Meyers Sam Ghali (https://twitter.com/EM_RESUS) just asked me (Smith): “Steve, do left main coronary artery…
A young woman with altered mental status and hypotension
Written by Pendell Meyers I texted this Prehospital ECG with no clinical information to Dr. Smith. What do you think? Dr. Smith texted back…
What are all these little spikes?
An elderly woman fell and had an ECG recorded: What are all these spikes? They can’t be anything but artifact, but from what?? These are…
OMI Confirmed by POCUS Echo in a 50 year man
Case submitted and written by Alex Bracey A man in his 50s with no significant past medical history presented from a local beach with…