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7 Min Read

onJune 11, 2024

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…

Magnus Nossen

onNovember 5, 2023

Wide complex and apparent hyperacute T-waves. Does absence of change from previous ECG mean that it is not New?

7 Min Read

Magnus Nossen

onNovember 5, 2023

Wide complex and apparent hyperacute T-waves. Does absence of change from previous ECG mean that it is not New?

By Magnus Nossen, edits by Grauer and Smith The patient is a 70-something female with DMII, HTN and an extensive prior history of coronary…

6 Min Read

Magnus Nossen

onSeptember 24, 2023

Morphine + OMI is a bad combination

This is written by Magnus Nossen, with some edits by Smith This ECG diagnosis will be obvious to the majority of the readers of this blog. It…

4 Min Read

Steve Smith

onSeptember 5, 2023

Computer: “Normal ECG,” TIMI-3 flow at angiography: Does this ECG manifest Occlusion MI?

A 60-something awoke with 10/10 crushing chest pain. He walked in to triage. Here is the ECG: Computer interpretation: Normal…

8 Min Read

Jesse McLaren

onAugust 19, 2023

75 year old dialysis patient with nausea, vomiting and lightheadedness

Written by Jesse McLaren A 75 year-old patient with diabetes and end stage renal disease was sent to the ED after dialysis for three…

9 Min Read

Jesse McLaren

onMarch 24, 2023

85 year old with chest pain, STEMI negative, then normal troponin but with relatively large delta: discharge?

Written by Jesse McLaren, with comments from Smith An 85 year old with a history of CAD presented with 3 hours of chest pain that feels…

11 Min Read

Pendell Meyers

onAugust 1, 2022

A man in his 60s with dizziness, nausea, chest pain, and LBBB

Submitted and written by Parker Hambright MD, peer reviewed by Meyers, McLaren, Grauer, Smith A man in his late 60s called EMS for acute…

8 Min Read

Pendell Meyers

onJune 17, 2022

A man in his 30s with chest pain and a normal bedside echo, without wall motion abnormality

Submitted and written by Dominic Nicacio MD, peer reviewed by Meyers, McLaren, Grauer, Smith A man in his early thirties with history of…

4 Min Read

Pendell Meyers

onDecember 27, 2021

Did the posterior leads help here? Why not just get good at STDmaxV1-V4?

Written by Pendell Meyers A middle aged woman presented with chest pain and dyspnea. Her exam and vitals were within normal…

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inferior OMI

What if your system adopted the recommendation that a computer “normal” ECG need not be shown to the doctor?

Wide complex and apparent hyperacute T-waves. Does absence of change from previous ECG mean that it is not New?

Wide complex and apparent hyperacute T-waves. Does absence of change from previous ECG mean that it is not New?

Morphine + OMI is a bad combination

Computer: “Normal ECG,” TIMI-3 flow at angiography: Does this ECG manifest Occlusion MI?

75 year old dialysis patient with nausea, vomiting and lightheadedness

85 year old with chest pain, STEMI negative, then normal troponin but with relatively large delta: discharge?

A man in his 60s with dizziness, nausea, chest pain, and LBBB

A man in his 30s with chest pain and a normal bedside echo, without wall motion abnormality

Did the posterior leads help here? Why not just get good at STDmaxV1-V4?