How important are old ECGs in Non-obvious cases of potential OMI?
In the last post, we saw how important old ECGs are in assessing the current ECG in a patient without atypical presentation (in this previous…
A 90-something with acute stroke. She has no chest symptoms. What is the diagnosis?
A 90-something year old woman presented with an acute mild stroke. She had a routine ECG as part of her workup: What do you think? This was…
A man in his 60s with syncope and ST depression. What does the ECG mean?
Written by Sean Trostel MD, peer reviewed by Meyers, Smith, Grauer, etc. A man in his 60s with a history of severe alcohol use disorder and…
What clinical scenario fits best?
Below are 4 ECGs from the same patient. Accompanying the ECGs is some clinical information. Look at the ECGs and consider the timeline and…
Morphine + OMI is a bad combination
This is written by Magnus Nossen, with some edits by Smith This ECG diagnosis will be obvious to the majority of the readers of this blog. It…
This ECG was texted to me: normal variant early repolarization, or LAD Occlusion MI (OMI)?
This ECG was texted to me with no other information. I assumed the presentation was consistent with acute MI. What did I say?…
A 60-year-old diabetic with chest pain, cath lab activated
I came to work one day and one of my partners said, “Hey, Steve, we had a STEMI this afternoon!” I said, “Cool, can I see…
A middle-aged man with acute chest pain.
A 50-something male had onset of chest pain 1 hour prior to ED arrival. It is constant, 9/10, left-sided CP that radiates into…
75 year old dialysis patient with nausea, vomiting and lightheadedness
Written by Jesse McLaren A 75 year-old patient with diabetes and end stage renal disease was sent to the ED after dialysis for three…
A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation
A 40-something with persistent Ventricular Fibrillation presented after attempted prehospital resuscitation A 40-something with no previous…