Alcohol withdrawal and sinus tachycardia
This patient with alcohol withdrawal and tachycardia had an ECG recorded: What do you think? There is sinus tachycardia. Look at the QT…
Just a few cases that the computer called “normal”
This article has been discussed on Twitter today. It purports to show that you don’t need to read the ECG if the computer says…
Beware Automated Interpretations of Atrial Fibrillation!
See this ECG: There is an irregularly irregular rhythm. The Automated interpretation was “Atrial Fibrillation.” What is it? Look…
60-something with Chest Pain, resolved upon arrival to the ED
A 60-something male called 911 for chest pain of less than one hour duration. He arrived in the ED pain free and had this ECG recorded:…
Altered Mental Status, possible ingestion. What does the ECG show?
A middle aged man was heard to be falling in his apartment. He was found very agitated, intermittently screaming (and on presentation…
Would you activate the cath lab prehospital?
A 54 yo with history of hypertension awoke in the AM with substernal chest pain. It did not abate, so at 0930, he called 911.…
Hyperacute T-waves, missed by computer, short DBT, but large myocardial infarction
This 57 yo male with no past medical history had sudden onset of chest pain while sleeping. He called 911 at midnight and his…
Computer misses again — two cases: one very obvious, one very subtle
Case 1. A 63 year old male had chest pain and syncope after playing hockey (this is Minnesota). A prehospital ECG showed inferior ST elevation…
35 yo woman with LAD occlusion manifesting with only hyperacute Ts and inferior ST depression, also missed by computer
Click here for other cases of missed STEMI. Click here for cases of early repolarization vs. LAD occlusion. A 35 yo woman had the sudden…
Computer algorithms are not sensitive for STEMI
This 29 year old presented in February 2010 after drinking with friends. He started vomiting, then had onset of chest pain and bilateral arm…