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…
A 60-something with syncope
The medics were called for sudden LOC and then awakening, witnessed by his spouse. The patient looked ill to them. They recorded a prehospital…
The computer and the cardiologist called this a “Normal EKG”
This was sent by Cam Mosley, LSU-Baton Rouge Residency. A 40-something woman presented to the ED having had “heartburn” overnight and then…
Is this new LAD occlusion with ST Elevation superimposed on old QS-wave MI?
A middle-aged male with history of anterior STEMI complicated by prolonged cardiac arrest with near miraculous ROSC, who has an ICD,…
I was handed this ECG at triage with no information
I was at triage when this ECG of a 50-something was handed to me. He speaks no English and I really had no idea what his symptoms were, but…
A man in his sixties with chest pain at midnight with undetectable troponin
Written by Pendell Meyers A male in his 60s with no known past medical history presented at midnight with chest pain over the past 3 hours.…