Chest pain, this ECG, and an undetectable troponin after 6 hours of pain
These ECGs were texted to me by one of our former ultrasound fellows, Will Smoot A Middle-aged male presented with acute chest pain. This…
Accuracy of cath lab activation decisions for STEMI-equivalent and mimic ECGs: Physicians vs. AI (PMcardio, queen of hearts), and comment by John Mandrola on “This Week in Cardiology Podcast”
Here is the link to the study by Shroyer, Mehta, Thukral, Smiley, Mercaldo, Meyers, and Smith Here is a link to all the ECGs. This Week in…
Chest pain 6 days after a negative stress test
This case comes from Cody Pinnow, a 2nd year EM resident who learned EKGs from this blog while working as a cardiac monitor technician, before…
70-something with acute chest pain, Right Bundle Branch block, ST Elevation, and large T-waves
A 70-something with no cardiac history called 911 for acute chest pain. Here is the prehospital ECG: What do you think? There is right bundle…
Chest pain and a fast rhythm
My partner brought me this ECG during a shift, not sure how to interpret it. A 65 y.o. male with a past medical history significant for…
Even OMI that are STEMI are missed, and called “Not a STEMI”
A 40-something woman with no previous medical history presented in the wee hours with 4 hours of chest pain. The pain had been intermittent…
Wide Complex Tachycardia, intermittent
This was sent by a former resident, John Dunbar: “Had this one the other day. 60s, no medical history but didn’t go to the doctor. Had a…
What is this Pattern? Is an initial troponin I of 45 ng/L diagnostic?
A middle aged male presented with acute chest pain. He was seen by Emily Dawra, one of our 2nd year EM residents, about to become 3rd year in…
This is Excellent OMI Care
This is the first post on our new blogger, WordPress. Notice that the URL is different from before (drsmithsecgblog.com). We’re hoping…
60-something with h/o Coronary Bypass has acute chest pain
A 60-something with h/o Coronary Bypass called 911 for acute chest pain. Here is the first prehospital ECG: What do you think? There is…