1 Min Read Steve SmithonMay 19, 2025 bradycardia trops lesss than 3 Impression: The left ventricular ejection fraction appears: Grossly preserved No pericardial effusion…
CT Coronary Angiogram (CTCA)troponins below the limit of detectionUnstable Angina in the era of High sensitivity troponin8 Min Read Steve SmithonMay 17, 2025 Chest pain, normal ECG, and serial undetectable high sensitivity troponins. Should we do further testing? Many authors state that if troponins are undetectable and ECG is normal, no further testing should be done. For example, in JACC:…
1 Min Read Steve SmithonMay 14, 2025 Artificial Intelligence Driven Prehospital ECG Interpretation for the Reduction of False Positive Emergent Cardiac Catheterization Lab Activations: A Retrospective Cohort Study 1. 2. 3. 4. 5. 6. 7. 8. 9.
echocardiogramInferior MI subtleultrasound6 Min Read Steve SmithonMay 10, 2025 ED Bedside Echo (in case one does not recognize the ECG). Images obtained and interpreted by a novice. This is a repost of a repost of a case from 2014. The original Case is here, and has many more details if you want to read…
Pretest ProbabilitySilent Myocardial Infarction8 Min Read Steve SmithonMay 8, 2025 The Queen always asks (if she sees OMI) “Is there a clinical suspicion of acute coronary syndrome” This was sent by Asad Tasleem, an Emergency Medicine resident in Pakistan: “I am an ED Resident in a tertiary care Hospital…