This case was flagged as a false positive cath lab activation. Why? And do you agree?
An 80 – something with h/o hypertension and hyperlipidemia complained of chest pain off and on all day, then recurring acutely. He…
New Paper: Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute OMI.
Just published online today by Meyers and Smith. @PendellM This is our best and most important work ever. Another nail in the STEMI/NonSTEMI…
An 80-something with weakness, cough, and CP. Should this ECG provoke a Prehospital Cath Lab activation?
An 80-something called 911 for chest pain, generalized weakness, and cough. Here is his prehospital ECG: The medics were worried about this…
Paroxysmal Atrial Fibrillation with RVR, hypotension, volume depletion, good EF, AND pulmonary edema. Strange. Why? What to do?
A 30-something woman presented with a few days of feeling ill. She had a history of paroxysmal atrial fibrillation, bio-prosthetic…
Prehospital Cath Lab Activation for inferior STEMI — do you agree?
A 40-something male complained of 3 days of chest pressure. He called 911. He had some pulmonary edema and hypoxia. Here is the…
Nonspecific symptoms with RBBB and New ST Elevation. Anterior STEMI, right? What does the echo show?
A 50-something male with a history of COPD and substance use disorder who presented with generalized weakness and exacerbation of chronic back…
20-something with anxiety. Pulse is 169. Then 229. Then 169. Then 229. Latent conduction vs. Concealed Conduction. 3 Pathways.
A young woman in her third trimester of pregnancy had complained of panic attacks on multiple occasions. She presented to the ED…
Does this ECG represent acute ischemia?
I was shown this ECG, without any clinical data: What do you think? My answer: “I think it is a baseline ECG, not ischemic.”…
80-something year old with acute chest pain. 3 visits. Fascinating Ultrasound progression
An 80-something year old man with history of metastatic cancer had acute onset of chest pain and called 911. Here is his prehospital ECG: What…
De Winter’s T-waves are Not a Stable ECG condition. Upright T-waves in Posterior OMI are Distinct from de Winter’s waves.
This was just published in JAMA Internal Medicine: The de Winter Electrocardiogram Pattern Evolving From Hyperacute T Waves It reminded me…