Management of MI can be similar to stroke: Use CT angiogram. Don’t depend only on STE on ECG for reperfusion?
This new article from the VERDICT trial may help to change the MI paradigm to OMI-NOMI. Coronary CT Angiography in Patients With…
Computer and transferring physician say “normal.” What do you think?
This was sent by Guillaume Debaty, from the Grenoble Region of France. He has done a lot of great work on cardiac arrest, including as…
OMI-NOMI paradigm established as better than STEMI-NSTEMI with new article
Data: OMI-NOMI paradigm established as better than STEMI-NSTEMI with new article by Emre Aslanger, with some help from Smith…
Prehospital ECG of a 50-something male with Syncope and Chest Pain
This case was sent by an excellent medic: A 50-something yo male started to chop wood when he experienced a short syncopal episode followed by…
Subtle ECG Findings of Left Anterior Descending Artery (LAD) Occlusion — LAD Occlusion MI (OMI)
I just gave this Zoom lecture to U Mass on Subtle ECG Findings of Left Anterior Descending Artery (LAD) Occlusion — LAD Occlusion…
Updated 1 hour lecture: The False STEMI-NonSTEMI Dichotomy
I just gave this Grand Rounds at U Mass by Zoom on: The False STEMI – NonSTEMI Dichotomy. You can view the entire 1 hour lecture here:…
A case of misinterpreted troponins, in spite of a very suspicious ECG….
This 50-something male with previous history of MI presented for intermittent CP and SOB for 2 days. CP lasted for hours at a time,…
Chest pain and Inferior T-wave Inversion. Does this patient need emergent cath lab activation?
This ECG was texted to me, initially with no information: What do you think? There are QS-waves in III and aVF. There is a qR in lead…
An Very Elderly Male with Epigastric pain, “ischemic ECG” and Interesting Imaging.
A very elderly male presented with epigastric pain on and off for 36 hours. His exam was unremarkable. Here is his ED ECG: There appears to be…
Massive Transfusion for Motorcycle Collision with Hemorrhage, Troponin Elevated.
This ECG was done in a middle aged woman who was in a motor vehicle collision in which her vehicle “T-boned” another, so there was…