Acute Chest pain in a 50-something, and a “Normal” ECG
Chris Mondie of the Newark Beth Israel Emergency Medicine Residency sent this case A 50-something man presented with acute…
More precise interpretation of the results of the 4-variable formula.
If you haven’t heard of the 4-variable formula for differentiating Normal Variant ST Elevation in V2-V4 from Ischemic ST Elevation due…
The computer and the cardiologist called this a “Normal EKG”
This was sent by Cam Mosley, LSU-Baton Rouge Residency. A 40-something woman presented to the ED having had “heartburn” overnight and then…
Chest pain and Convex ST Elevation in Precordial Leads
A 30-something y.o. male with PMH significant for anxiety, asthma, and alcohol use disorder presented with chest pain x 1 week. Patient…
A Simplified Formula Discriminating Subtle Anterior Wall Myocardial Infarction from Normal Variant ST-Segment Elevation
Dr. Emre Aslanger has published a simpler formula for differentiating electrocardiographically subtle LAD occlusion from normal variant ST…
To activate or not to activate?
Written by Pendell Meyers, with edits by Steve Smith I was texted this ECG with no clinical information: (This will be called ECG-2) What do…
I was texted this ECG: “Middle-aged male with Prehospital Cath Lab Activation”
A physician caring for his new arrival, a 50-something with acute chest pain and dyspnea and syncope, texted me this initial ED ED ECG. The…
“This is not a Subtle ECG, right?”
A reader texted this ECG without any clinical information, with the question: “This is not a Subtle ECG, right?” My response:…
A 54 yo male with sudden chest pain. Computer says normal. Paramedic disagrees.
Announcement! There is now an Android app for the 3- and 4-variable formulas. It is of course free (#FOAMed). It was written by Yannick…
A middle-aged woman with chest pain and a “normal” ECG in triage
This was sent to me by a former resident from a community hospital: A middle-aged woman complained of chest pain and was seen in triage. She…