hyperacute T-wavesPrecordial swirlSubtle LAD OcclusionT-wave: down-up in inferior leads4 Min Read Steve SmithonJune 27, 2025 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…
hyperacute T-wavesLAD occlusionProximal LADQueen of Heart Implementation6 Min Read Steve SmithonJune 25, 2025 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…
angiogram deceptivePseudoanteroseptal MIRV MIRVMI5 Min Read Willy FrickonJune 17, 2025 Anteroseptal OMI? Accurate ECG interpretation is essential to correctly interpreting the angiogram. Written by Willy Frick A man in his early 40s with prior anterior OMI s/p bare metal stent to LAD in 2014 presented with acute chest pain,…
false positive cath lab activationpericarditis7 Min Read Pendell MeyersonJune 15, 2025 A woman in her 50s with acute chest pain Written by Pendell Meyers A woman in her 50s with no significant past medical history experienced acute anterior chest pain that woke…
Coronary Artery Bypass (CABG) surgeryPM Cardio Queen of Heartsposterior OMIprehospital posterior OMI4 Min Read Steve SmithonJune 12, 2025 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…