Large T-waves and a Computer Interpretation of ***Acute MI***
This ECG was texted to me with no information: I answered: “Show me the whole 12-lead.” Here it is: Computer Interpretation: SINUS…
A Computer “Normal” ECG. What is the diagnosis?
I posted this one on October 9, but it was buried in a discussion of a paper on triage ECGs: Another Inadequate Paper Published on Triage…
Was the intern correct?
Written by Pendell Meyers, case submitted by Max Macbarb, edits by Steve Smith A 71 year old gentleman with history of CAD and PCI presented…
Two cases texted to me for concern of inferior hyperacute T waves and a flipped T in aVL – do either, neither, or both need emergent reperfusion?
Written by Pendell Meyers I received two texts recently, in both cases the practitioners were worried about possible inferior hyperacute…
Another Inadequate Paper Published on Triage ECGs, whose Conclusions Need Scrutiny.
See the Case below. This paper was just published: Noll S. et al. The utility of the triage electrocardiogram for the detection of…
See what happens when hyperacute T-waves are missed. And can you be lucky to have a cardiac arrest?
Written by Pendell Meyers, edits by Steve Smith. A man in his 60s with history of hypertension and MI 10 years ago (with PCI at that time) —…
A Tale of 2 Occlusions in the Same Patient: one with Expert ECG interpretation, the Other Without
Submitted by Nic Thompson, Written by Pendell Meyers, edits by Steve Smith This is a long post, but well worth the read because it clearly…
“Are these hyperacute T-waves?” – what is your recommendation for the team in these two cases?
Written by Pendell Meyers, edits by Steve Smith When practitioners are learning a new ECG concept for the first time, they very appropriately…
If you had recorded an ECG during chest pain, what would it have shown?
Case A 40-something male presented to triage. He had suffered a couple bouts of typical chest pain in the last 24 hours. …
Shoulder pain after lifting a heavy box
Written by Pendell Meyers, edits by Steve Smith This will be too easy for most long-time readers, but if you are at that level, sit back and…