Even OMI that are STEMI are missed, and called “Not a STEMI”
A 40-something woman with no previous medical history presented in the wee hours with 4 hours of chest pain. The pain had been intermittent…
The worst thing you can be when you have this ECG is to be a young woman
This was contributed by a great paramedic, Drew Williams. He now is his agency’s “Clinical Improvement Analyst for…
Never send a chest pain patient home without measuring troponin. What is masquerading bundle branch block? And, and, and….
Written by Hans Helseth, with edits and comments by Smith and Grauer An 84 year old man with chronic hypertension and CKD presented to a…
Should we wait for troponin when the ECG does not show “diagnostic” ST Elevation?
Written by Willy Frick A 52 year old man with hypertension, dyslipidemia, and seropositive rheumatoid arthritis (a risk factor for CAD)…
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…
Another myocardial wall is sacrificed at the altar of the STEMI/NonSTEMI mass delusion (and Opiate pain relief).
I received the following text message with these 3 EKGs (providers text me ECGs all day every day; most are false positives; many are subtle…
Compare these two ECGs. Do either, neither, or both show anything important?
One case sent by Dr. Sean Rees MD, written by Pendell Meyers, other case by Sam Ghali and Steve Smith Take a look at these two ECGs below from…
Opiate overdose, without chest pain or shortness of breath. Cognitive dissonance.
I was reading EKGs on the system and saw this one….. What did I put in as my interpretation? Interpretation: “Acute LAD occlusion…
Chest pain, peak troponin 100,000 ng/L and this ECG on discharge: what’s the diagnosis?
Written by Jesse McLaren, with edits by Smith Usually cases are presented in chronological order the way they appear in real life. But…
A man in his 50s with hypoxemic respiratory failure from COVID pneumonia develops chest pain
Submitted by anonymous, written by Parker Hambright, MD, peer reviewed by Meyers, Smith, McLaren A man in his 50s with a past medical history…