CocaineComparison with Previous ECGCT Coronary Angiogram (CTCA)False positive ECGPrevious ECGQueen knows false positivetype 2 MIVasospasm8 Min Read Steve SmithonMarch 21, 2026 Acute chest pain and ST Elevation. Take a moment to look through the chart! A 40-something man presented with with 10/10 chest pain after cocaine use. The chest pain had been present for 1 hour. On arrival in the ED, a…
Comparison with Previous ECGfalse positive cath lab activation7 Min Read Steve SmithonNovember 14, 2023 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…
aVLComparison with Previous ECGinferior hyperacute T-wavesOMI6 Min Read Pendell MeyersonJanuary 6, 2023 A woman in her 50s with acute chest pain Submitted and written by Anonymous, edits by Meyers and Smith A 50s-year-old patient with no known cardiac history presented at 0045 with…