The OMI Manifesto Lecture (1 Hour Video Lecture)
Written and recorded by Pendell Meyers Here is a 1-hour video lecture accompanying our OMI Manifesto (released last year on Dr. Smith’s…
Would you have given thrombolytics to this NSTEMI patient?
Case submitted by Dr. James Alva A middle aged male called EMS for chest pain. EMS arrived and confirmed that the patient was complaining of…
Acute MI, pain onset 24-48 hours ago. Should the patient go for emergent angiogram/PCI?
Case 1. A 60-something man with HTN, DM, and hyperlipidemia presented stating he had chest pain starting 48 hours prior to arrival. It was…
Two patients with RBBB
Case 1. A 60-something woman presented with dyspnea. She had a history of chronic respiratory disease and hypoxia, but hypoxia was no…
Inferior Subtle ST elevation: straight ST segment, but also no reciprocal ST depression in aVL: which is more important?
60-something with h/o MI and stents presented with chest pain radiating to the back and nausea/vomiting. Time zero What do you think? There is…
Serial Evolving ECGs all diagnostic of LAD OMI, but never meet STEMI criteria
A 60-something called 911 for chest pain. Medics recorded an ECG at time zero: What to you think? There is no ST elevation, but V2 has a…
2 ECGs texted to me. Minimal STE in inferior leads. How important is it?
These 2 ECGs were texted to me with the words “I think acute MI, but cardiology does not.” I believed these to be 2 serial ECGs:…
ST segment concavity is just one small piece of the puzzle that is pattern recognition
Written by Pendell Meyers Here are two striking examples from a single shift highlighting the fallibility of the standard “smiley…
Do you recognize these ECGs? STEMI? LVH? What?
What do you think of these ECGs? I came across the first one reading it blind for a study. I was certain I knew the diagnosis, and went…
Sudden Cardiac Arrest: why does the Heart Just Die?
A 60-something was outside walking with a friend when he suddenly stated that he “felt weak,” without chest pain or SOB or…