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…
More precise interpretation of the results of the 4-variable formula.
If you haven’t heard of the 4-variable formula for differentiating Normal Variant ST Elevation in V2-V4 from Ischemic ST Elevation due…
Patient with Dyspnea. You are handed a triage ECG interpreted as “normal” by the computer.
I was handed this ECG of a patient with dyspnea: What do you think? Computer interpretation: Normal EKG Physician Overread (Final…
A 20-something male with acute chest pain
I was texted this ECG with the words “sudden onset CP in a 20-something”: What do you think? This was my response: “This is…
A patient with chest pain that is resolving. Computer interprets ED ECG as completely Normal.
I posted this case a long time ago, before I started ranting about ECGs that are called completely normal by the computer. A 60-something with…
A 40-something woman with no medical history presented with 2 days of chest pain
A 40-something called 911 for 2 days of CP. It was difficult to get a history because of language, but of course a prehospital ECG was…