July 2022 - Dr. Smith’s ECG Blog

Home Archives for July 2022

8 Min Read

onJuly 29, 2022

Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion

Written by Jesse McLaren Two patients presented with chest pain and LVH on ECG. Patient 1: 65 year old with an hour of left sided chest…

9 Min Read

Pendell Meyers

onJuly 25, 2022

A man in his 50s with hypoxemic respiratory failure from COVID pneumonia develops chest pain

Submitted by anonymous, written by Parker Hambright, MD, peer reviewed by Meyers, Smith, McLaren A man in his 50s with a past medical history…

6 Min Read

Pendell Meyers

onJuly 21, 2022

A woman in her 40s with intractable nausea and vomiting, dyspnea, and lightheadedness

Submitted and written by Oriane Longerstaey MD, peer reviewed by Meyers, Smith, and McLaren A woman in her 40s with diabetes and HLD…

7 Min Read

Jesse McLaren

onJuly 18, 2022

Chest pain, RBBB but “STEMI Negative”: Is this a false cath lab activation, or a false cancellation?

A 90 year old with a history of atrial fibrillation presented with two weeks of intermittent retrosternal chest pain lasting minutes. An hour…

Normal ECG by computer algorithm

5 Min Read

Steve Smith

onJuly 16, 2022

A Middle Aged Male diagnosed with Gastroesophageal Reflux

This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. He had been at a clinic that day where he…

Steve Smith

onJuly 14, 2022

Cardiovascular Grand Rounds at Mayo Clinic Arizona, July 7, 2022: Let’s Replace the STEMI/NonSTEMI Paradigm with the OMI/NOMI Paradigm.

6 Min Read

Pendell Meyers

onJuly 13, 2022

See what happens when the consultant is “Not convinced of STEMI”

Sent by Arjun V, written by Pendell Meyers, edits by Smith A man in his early 40s with history of HTN and obesity suffered sudden out of…

6 Min Read

Pendell Meyers

onJuly 11, 2022

Instant easy save if you understand OMI, but incredibly dangerous if you only know STEMI. Readers of this blog will instantly understand this and save lives!

Written by Pendell Meyers A man in his 60s presented with 1 hour of acute chest pain. Vitals were within normal limits. Here is his…

5 Min Read

Steve Smith

onJuly 4, 2022

The ECG must be recorded at the right time, or the Occlusion (OMI) will be missed.

This was sent by one of our faculty, Steven Souchtchenko, who trained under me and works at another hospital most of the time, and with us at…

6 Min Read

Steve Smith

onJuly 2, 2022

All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing.

A 50-something woman who has a gastric ulcer was experiencing epigastric pain for which she decided to come to the ED. Then,…

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Dr. Smith's ECG Blog

Month: July 2022

Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion

A man in his 50s with hypoxemic respiratory failure from COVID pneumonia develops chest pain

A woman in her 40s with intractable nausea and vomiting, dyspnea, and lightheadedness

Chest pain, RBBB but “STEMI Negative”: Is this a false cath lab activation, or a false cancellation?

A Middle Aged Male diagnosed with Gastroesophageal Reflux

Cardiovascular Grand Rounds at Mayo Clinic Arizona, July 7, 2022: Let’s Replace the STEMI/NonSTEMI Paradigm with the OMI/NOMI Paradigm.

See what happens when the consultant is “Not convinced of STEMI”

Instant easy save if you understand OMI, but incredibly dangerous if you only know STEMI. Readers of this blog will instantly understand this and save lives!

The ECG must be recorded at the right time, or the Occlusion (OMI) will be missed.

All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing.