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…
A man in his 50s with unwitnessed VF arrest, defibrillated to ROSC, and no STEMI criteria on post ROSC ECG. Should he get emergent angiogram?
Written by Pendell Meyers A man in his 50s was found by his family in cardiac arrest of unknown duration. His family started CPR and called…
A man in his 30s with chest pain. How was he managed? What if they had used the Queen of Hearts?
Written by Pendell Meyers A man in his late 30s with history of hypertension, tobacco use, and obesity presented to the Emergency Department…
Two patients with chest pain, with QRS obscured: which was STEMI positive, and which had Occlusion MI?
Written by Jesse McLaren Two patients presented with acute chest pain, and below are the precordial leads V1-6 for each. Patient 1 (ECG…