A 35-year old woman with this post-ROSC ECG. What does “shark fin” morphology mean?
Written by Magnus Nossen. The patient in today’s case is a 35-year-old overweight female. She experienced sudden onset chest pain and…
Chest pain, this ECG, and an undetectable troponin after 6 hours of pain
These ECGs were texted to me by one of our former ultrasound fellows, Will Smoot A Middle-aged male presented with acute chest pain. This…
Back to basics: ECGs are dynamic, get serial ECGs and learn the OMI progression
Written by Pendell Meyers A male in his 40s experienced off and on chest pain at rest several times in the past 48 hours. The pain returned…
This is Excellent OMI Care
This is the first post on our new blogger, WordPress. Notice that the URL is different from before (drsmithsecgblog.com). We’re hoping…
A woman in her 60s with acute chest pain and shortness of breath
Written by Pendell Meyers A woman in her 60s had acute chest pain and shortness of breath. EMS arrived and recorded this ECG (no baseline ECG…
Would you like to see this ECG without the Right Bundle Branch Block? Would your diagnosis change?
Sent by anonymous, written by Pendell Meyers A woman in her 40s with no known comorbidities presented with acute chest pain radiating to left…
Acute chest pain, right bundle branch block, no STEMI criteria, and negative initial troponin.
Written by Pendell Meyers A man in his 40s called EMS for acute chest pain that awoke him from sleep, along with nausea and shortness of…
60 yo with chest pain: why the abnormal QRS and abnormal repolarization?
Written by Pendell Meyers A man in his 60s presented with acute chest pain and normal vital signs. Here is his triage ECG: What do you…
Serial ECGs for chest pain: at what point would you activate the cath lab?
Written by Jesse McLaren A healthy 75 year old developed 7/10 chest pain associated with diaphoresis and nausea, which began on…
Which of these, if either, is OMI? Which of these underwent emergent angiography and PCI? Which should have?
Sent by anonymous, written by Pendell Meyers Case 1: A man in his 50s presented with acute chest pain. Normal vital signs. Here is his…