Patient with STEMI (-) OMI is now pain free. Is there need for emergent cath lab activation?
I was reading through a stack of ECGs to put in the formal interpretation, and came across this one: This was my interpretation without having…
“It isn’t a STEMI,” so cath lab refusal (again). Were they right?
Sent by Anonymous, written by Pendell Meyers An elderly female called EMS for acute epigastric pain. EMS arrived and recorded this ECG on the…
40 Something Man with Palpitations and Grouped Beating: Is it Wenckebach?
From Dr. Smith: A 40 something male complained of palpitations. See the ECG below and how Ken Grauer dissects this grouped beating.…
Repost: Syncope, Shock, AV block, RBBB, Large RV, “Anterior” ST Elevation in V1-V3
I came across this post from 2015 while answering a question on Twitter, and decided to repost it:…
A woman in her 60s with chest pain and prominent J waves
Case submitted by Dan Singer MD and Ryan Barnicle MD, Written by Pendell Meyers A woman in her 60s with history of smoking presented to the ED…
Interventionalist at the Receiving Hospital: “No STEMI, no cath. I do not accept the transfer.”
Are Some Cardiologists Really Limited by Strict Adherence to STEMI millimeter criteria? Yes. We don’t know how many though. I was texted…
Implementation of Abbott Architect High Sensitivity Troponin I in the ED
This was recorded by Stephen W. Smith to help clinicians implement the Abbott Architect High Sensitivity Troponin Assay. This describes the…
Cardiac arrest with anterior-inferior STEMI: Guess the value of the initial ED high sensitivity Abbott troponin I
A ~40 year old woman started having chest discomfort. She called 911 after an uncertain amount of time. EMS arrived and recorded…
A 60-something Woman with Chest Pain and a Wide QRS
=================================== MY Comment by KEN GRAUER, MD (9/17/2020): =================================== Today’s patient is…
A 58 year old collapses in the hot sun
A 58 yo male was out working in the hot sun for 2-3 hours. He stated he almost passed out, and bystanders called 911. They give him water with…