Doctor, should we activate the hospital’s “STEMI alert”?
Written by Pendell Meyers I received this prehospital ECG (we receive prehospital ECGs by telemetry from EMS in a large area around our…
How long would you like to wait for your Occlusion MI to show a STEMI? Sometimes serial ECGs minimizes the delay.
Written by Pendell Meyers An elderly woman presented with acute onset chest pain and shortness of breath. EMS showed us their ECG on arrival…
The delay between OMI and STEMI claims yet another patient’s anterior wall
Written by Pendell Meyers with edits by Steve Smith An elderly woman with HTN presented with L sided chest pain, intermittent over the past…
Three EKGs shown to me – which if any need emergent reperfusion?
Written by Pendell Meyers We commonly get feedback from readers who are skeptical that we can pick out the subtle NSTEMI occlusions from…
What will you do for this patient transferred to you who is now asymptomatic?
A middle-aged woman with history of hypertension presented to another hospital approximately 2 hours after onset of chest pain and shortness…
Is this ST elevation normal or abnormal?
Written by Pendell Meyers A male in his 50s with history of HTN, DM, HLD presented with chest pain of less than one hour duration. Here is his…
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…
A man in his 80s with chest pain
Written by Pendell Meyers A male in his 80s with history of colon cancer, HTN, and CAD with a newly placed LAD stent approximately 1 month…
See what happens when hyperacute T-waves are missed
Written by Pendell Meyers, edits by Steve Smith A man in his 60s with history of hypertension and MI 10 years ago, with PCI, presented to an…
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…