ST Depression Maximal in V1-V4 and Angio shows 3 Vessel Disease. Is it posterior? Which is the culprit?
A 70-something woman had acute chest pain. The ECG was texted to me with the words: “Acute chest pain. Could this be posterior MI? What…
Bradycardia, Crushing Chest pain, and Pulseless VT Arrest
A 50-something woman with h/o hypertension and hyperaldostonism presented with severe crushing chest pain and bradycardia. EMS found the…
A woman with near-syncope, bradycardia, and hypotension
Written by Pendell Meyers A 59-year-old woman with diabetes, hypertension, prior stroke, and peripheral vascular disease presented with…
Extreme widespread ST depression, with ST Elevation in aVR. What do you think?
I was texted this ECG without any other information. The question was posed: “Activate the cath lab?” What do you…
A 45 year old smoker presents with palpitations, is discharged, and is found dead 2 days later
A 45 year old smoker presented with palpitations. He had no other medical problems. There was no syncope. He was on no…
“Pay me now, or pay me later”
This patient presented with acute pulmonary edema without chest pain. A bit of history prior to showing the ECG: The patient had been…
Our newest OMI publication, in JEM – Comparison of the STEMI vs. NSTEMI and Occlusion MI vs. NOMI paradigms of acute MI
See our newest OMI publication in JEM Free full text here: https://authors.elsevier.com/c/1cCuk2dT1Cnr6k Comparison of the ST-elevation…
Abbott High Sensitivity Troponin Algorithm at Hennepin Healthcare
To see the full lecture with the data, click here Algorithm Click on images to enlarge them!! Rule Out MI Rule In MI Important slide on Risk…
The Diagnosis of OMI does not depend on the ECG. But if you recognize it, that’s great.
An elderly woman presented with 4 days of waxing and waning epigastric/substernal chest pain, worse on the day she presented. She…
A 49 year old man with chest pain. Is it OMI? is it pseudonormalization?
Written by Pendell Meyers Before we get to the whole case, let’s interpret this ECG without any other context except to say that…