“A patient just arrived as a transfer for NSTEMI.”
Written by Willy Frick The OMI paradigm has taught me that any diagnosis of NSTEMI is cause for immediate evaluation. “A patient…
Webinar: Beyond STEMI: Diagnosing Acute Coronary Occlusion on the ECG. The Queen of Hearts can do it for you!!
Beyond STEMI: Diagnosing Acute Coronary Occlusion on the ECG. The Queen of Hearts AI app can do it for you. With…
OMI in a pediatric patient? Teenagers do get acute coronary occlusion, so don’t automatically dismiss the idea.
Acute coronary syndrome in a pediatric patient? Written by Kirsten Morrissey, MD with edits by Bracey, Grauer, Meyers, and Smith …
Quiz post: 2 similar patients with similar ECGs. Which, if any, or both, are OMI? Will you outperform the Queen of Hearts?
Written by Pendell Meyers Two adult patients in their 50s called EMS for acute chest pain that started within the last hour. Both were…
Chest pain and new regional/reciprocal ECG changes compared to previous ECGs: code STEMI?
Written by Jesse McLaren A 45 year old presented with two weeks of recurring non-exertional chest pain, now constant for an hour.…
Infection and DKA, then sudden dyspnea with chest pain while in the ED
A 63 year old male with PMH of CAD and peripheral vascular disease from type I DM presented to clinic and was found to have a very high blood…
Acute Dyspnea and Right Bundle Branch Block
I was texted this ECG just as I was getting into bed. It is of an elderly woman who complained of shortness of breath and had a recent stent…
What does the angiogram show? The Echo? The CT coronary angiogram? How do you explain this?
A 70-something female with no previous cardiac history presented with acute chest pain. She awoke from sleep last night…
How important are old ECGs in Non-obvious cases of potential OMI?
In the last post, we saw how important old ECGs are in assessing the current ECG in a patient without atypical presentation (in this previous…
A 90-something with acute stroke. She has no chest symptoms. What is the diagnosis?
A 90-something year old woman presented with an acute mild stroke. She had a routine ECG as part of her workup: What do you think? This was…