Can you treat Non-STEMI with thrombolytics if it is OMI (Occlusion MI)? Of course!
This case was sent by an old residency friend, Kirk Lufkin. He works in a small hospital in Northern Michigan. Case A 61…
Chest pain and Saddleback STE. For Which of these 6 Cases should we Activate the cath lab? And how does the Queen of Hearts perform?
Smith Introduction: Saddleback ST Elevation is often an OMI mimic, so one needs to scrutinize these ECGs!! Written by Magnus Nossen Below are…
Prehospital activation: De-activated on ED arrival by Cardiologist because “It’s not a STEMI”
This was submitted by a paramedic, Hailey Kennedy A late 50s male called 911 following 2 hours of chest pain that started while working at his…
Conventional computer ECG algorithm misses another potentially deadly abnormality. How does AI perform?
Written by Pendell Meyers A woman in her 70s with with multiple medical comorbidities began to have episodes of weakness and pre-syncope off…
Why you should use the Queen of Hearts and record serial ECGs more often. If you wait for troponin…..
This was sent to me by a French colleague, Olivier Peyronie “Yesterday we received a 62 yo man with diabetes, hypertension and smoker.…
See what happens when a left main thrombus evolves from subtotal occlusion to total occlusion.
Written by Magnus Nossen The patient in today’s case is a male in his 70s with hypertension and type II diabetes mellitus. His wife…
Two patients with chest pain and RBBB: do either have occlusion MI?
Written by Jesse McLaren Two patients in their 70s presented to the ED with chest pain and RBBB. Do either, both, or neither have…
Cath Lab occupied. Which patient should go now (or does only one need it? Or neither?)
This was sent to me by an undergraduate name Hans Helseth, who is an EKG tech, but who is an expert OMI ECG reader. He wrote most of it…