Atypical symptoms. Should we give thrombolytics?
This was sent by an old friend who works at a hospital without PCI capabilities, and far from one that does. So if there is OMI, he gives…
Dyspnea and chest pain. O2 saturation 88%.
This ECG was texted to me: dyspnea and chest pain. O2 saturation 88%. What was my response? My response: “She has some sort of chronic…
Wide complex Tachycardia in an 85 year old
An 85 year old called 911 for palpitations. Medics found her with good blood pressure but fast rate and recorded this ECG? Opinion of Zoll…
New Lecture. October 23, 2025. Replace STEMI/NSTEMI with OMI/NOMI, and AI in the Diagnosis of OMI
This is from Cardiology Grand Rounds at Medical College of Wisconsin, via Zoom, on October 23, 2025. The woman you see there is Dr. Jacquelyn…
A 24 year old with chest pain — What happened?
This was written up by one of our superb EM/IM residents, Emily Syverud. A 24-year-old man presented to the ED early in the morning with…
34 weeks pregnant. Heart rate of 180
A multiparous 41 y.o. female with history of an episode Atrial Fibrillation with Rapid Ventricular Response (AF RVR) in the setting of…
Extremely fast, narrow, regular
This was emailed to me by a reader with this info: 39-year-old male with no past medical history presents with 3 days of palpitations and 2…
Worrisome chest pain and inferior ST Elevation
This is a 30-something year old male with 1 week of constant left substernal chest pressure. Patient states the pain is non-radiating, it is…
ECG interpretation can keep you out of the courtroom. And “viral infection” by itself is not an explanation for dyspnea
This case was sent by Eric Funk of the Expert Witness Newsletter https://expertwitness.substack.com/p/death-after-ed-visit-for-covid A…
Several days of Shortness of breath. Other than the obvious atrial flutter, can PMCardio AI make the crucial diagnosis on the ECG?
A 70-something male with no significant past history presented to a primary care clinic with some progressive SOB over weeks, much worse over…