cardiac arrest due to missed OMIhigh sensitivity troponin negative in OMImissed OMItroponin-false negativeUnstable Angina in the era of High sensitivity troponin6 Min Read Steve SmithonFebruary 12, 2026 “Non-diagnostic” (even in retrospect) according to an entire conference full of ED docs and cardiologists. Subtitle: It’s not the ECG which is “Non-diagnostic” — it is the physicians who are “Non-diagnostic!” This…
cardiac arrest due to missed OMIInferior OMI Subtlemissed OMIMissed OMI and diedPositive Predictive ValuePretest Probability7 Min Read Steve SmithonFebruary 10, 2026 A 50-something with chest pain. Look what happens if you don’t use the Queen of Hearts. I came across this ECG while reading through all the ECGs on the system. The computer interpretation, confirmed by a cardiologist, is: = = =…
Hyperacute T-waves Missedmissed OMINSTEMI is worthless9 Min Read Pendell MeyersonFebruary 8, 2026 Will this patient get care of the past or care of the future? (NSTEMI is a worthless diagnosis) Sent by anonymous A woman in her 40s presented with acute chest pain. Her vitals were within normal limits. Here is her triage ECG: Readers of…
cardiac arrestEarly Repol Inferior and LateralJ-wavesVentricular Fibrillation11 Min Read Magnus NossenonFebruary 5, 2026 A male in his 30s with cardiac arrest. What is the etiology? Written by Magnus Nossen A man in his early 30s was found unresponsive in bed by his wife. She immediately initiated CPR. Upon arrival,…
Bifascicular blockChest Pain absent in OMIRBBB and LPFBThrombolyticsThrombolytics in NSTEMI OMI8 Min Read Steve SmithonFebruary 1, 2026 Elderly F w h/o MI has nausea and vertigo, with RBBB. And what is the data on thrombolytics for patients without ST Elevation? An elderly woman with h/o diabetes and prior MI with a stent presented with acute nausea and vertigo to a very remote hospital where acute OMI…