** **ACUTE MI/STEMI** **: Activate the cath lab if the patient has chest pain?
Written by Willy Frick I was reviewing our institutional PMcardio account which we are using to improve early identification of patients with…
What if your system adopted the recommendation that a computer “normal” ECG need not be shown to the doctor?
Written by Pendell Meyers with edits by Smith. Sent by anonymous A man in his 40s with no previous heart disease presented within 30…
A man in his early 40s with chest pain a “normal ECG” by computer algorithm. Should we avoid interrupting a physician to interpret his ECG?
Written by Pendell Meyers A man in his early 40s experienced acute onset chest pain. The chest pain started about 24 hours ago, but there was…
A man in his late 40s with chest pain
Written by Pendell Meyers with edits by Smith A man in his late 40s with no known medical problems was at work when he suddenly…
A middle aged female with “heartburn” and a “normal ECG” per the computer
This is a re-posting of a Tweet by Robert Jones (@RJonesSonoEM), reproduced with permission, written by Pendell Meyers A middle aged female…
Atrial fibrillation? Multifocal Atrial Tachycardia? Don’t look at computer read until AFTER you interpret!
This 60-something with h/o COPD and HFrEF (EF 25%) presented with SOB and chest pain. Here is the ECG: What do you think? Computer…
Chest pain in high risk patient. Are these Hyperacute T-waves? What is going on here?
A 40-something woman with h/o obesity, hyperlipidemia, smoking, as well as cocaine and alcohol abuse presented with intermittent chest pain…
Computer often fails to diagnose atrial fibrillation in ventricular paced rhythm, and that can be catastrophic
Case 1. An elderly patient presented with a massive hemiplegic ischemic stroke of 24 hours duration. CT stroke series showed a middle…
Chest pain and T-wave inversion in lead V2
This is the ECG of a young man who complained of chest pain. Here is the computer interpretation: ATRIAL FLUTTER/TACHYCARDIA (this is…
A patient with a “seizure” and a completely “normal” ECG
I happened on this ECG while walking by, and read it with no clinical information, remarked on it, and discussed it with the physicians caring…