Chest Pain and Q-waves in V1 and V2. Is there previous septal MI?
A middle-aged woman presented with chest pain. She had no history of cardiac disease. She had this presenting ECG: There are Q-waves in…
Timing of revascularization in patients with transient STEMI: a randomized clinical trial
European Heart Journal, ehy651, https://doi.org/10.1093/eurheartj/ehy651 Published: 26 October 2018…
Our residents are getting really good at this.
I was asked to look at this ECG in a patient with 30 minutes of acute onset of nausea and vomiting and perhaps some chest discomfort: First ED…
Is this a STEMI? No, not by definition! Why not? Why is this Important?
A 40-something male presented with dyspnea and left arm numbness, and perhaps some chest tightness, for 1 1/2 hours. Here is his triage ECG:…
Anterior STEMI and multiform PVCs with Narrow Coupling Interval. When to give beta blockers in acute MI?
A middle-aged male had 45 minutes of chest discomfort and drove to the ED. He has a history of hyperlipidemia. No previous…
This ECG, recorded in triage, was shown to me immediately, with no other info…..
This ECG, recorded in triage, was shown to me immediately, with no other info….. What do you think? Computer read is: “Moderate ST…
Another Inadequate Paper Published on Triage ECGs, whose Conclusions Need Scrutiny.
See the Case below. This paper was just published: Noll S. et al. The utility of the triage electrocardiogram for the detection of…
Hyperacute T-waves and Concordant ST Elevation seen in PVCs only
Today’s case comes from Steffen Grautoff, an Emergency Physician and Cardiologist who works on the Emergency Vehicles in northwest…
Anterior MI in paced rhythm, dismissed by cardiologist, patient died.
This was shown to me by a very astute Hennepin paramedic. Although this comes from a Hennepin paramedic, the patient was not brought to…
A 65 year old with chest pain, ECG recorded at 50 mm/sec
This case was sent by Peter Hammarlund, from Stockholm, Sweden: Hi Steve, What would you say about this ECG? A 65 yo smoking man with a prior…