60 year old with chest pain, STEMI negative. What should the discharge diagnosis be?
Written by Jesse McLaren A previously healthy 60 year old developed exertional chest pain with diaphoresis, and called EMS.…
Chest pain with serial ECGs – can you guess the sequence?
Written by Jesse McLaren A 45-year-old presented with 24 hours of intermittent chest pain. Below are serial ECGs focusing on the…
Chest pain: Are these really “Nonspecific ST-T wave abnormalities”, as the cardiologist interpretation states?
Written by Jesse McLaren, with a very few edits by Smith A 60-year-old presented with chest pain. The ECG did not meet STEMI criteria,…
Two patients with diffuse ST depression and reciprocal ST elevation in aVR: do either/both/neither have Occlusion MI?
Written by Jesse McLaren, with additions from Smith Two patients presented with chest pain with ST elevation in aVR, and the same final ECG…
Is OMI an ECG Diagnosis?
Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of…
Three patients with chest pain and “normal” ECGs: which had OMI? Which were normal? And how did the Queen of Hearts perform?
Written by Jesse McLaren Three patients presented with acute chest pain and ECGs that were labeled by the computer as completely normal, and…
Chest pain with anterior ST depression: look what happens if you use posterior leads.
Don’t forget to watch the Webinar: Smith and Pendell Meyers interpret ECGs for OMI or not OMI on Monday Feb 12 at 11 AM U.S.…
Chest pain and a computer ‘normal’ ECG. Therefore, there is no need for a physician to look at this ECG.
Written by Jesse McLaren, comments by Smith A 55 year old with a history of NSTEMI presented with two hours of exertional chest pain, with…
Two patients with chest pain, with QRS obscured: which was STEMI positive, and which had Occlusion MI?
Written by Jesse McLaren Two patients presented with acute chest pain, and below are the precordial leads V1-6 for each. Patient 1 (ECG…
50-year old with chest pain, “no ischemic changes”
Written by Jesse McLaren A previously healthy 50 year-old presented with 24 hours of intermittent exertional chest pain, radiating to…