Intraventricular conduction delayleft anterior fascicular blockMissed OMI and diedPrecordial swirl7 Min Read Pendell MeyersonOctober 27, 2025 A man in his 70s with acute chest pain. How did management affect the outcome? Sent by anonymous, written by Pendell Meyers A man in his 70s presented with acute chest pain, shortness of breath, nausea, vomiting, and…
Missed OMI and diedPrecordial swirl7 Min Read Magnus NossenonOctober 23, 2025 Chest pain with “Non-diagnostic ECG”. What is the finding? What do you think happened? Written by Magnus Nossen A 69-year-old woman with a 50-year history of smoking contacted EMS due to sudden onset chest pain. The chest pain…
cardiac arresthyperkalemiaMissed OMI and died6 Min Read Steve SmithonAugust 22, 2025 It’s best to recognize OMI before deciding not to intervene This is an elderly woman with a history of HFrEF (EF 20%), CKD, hypertension, dyslipidemia, decompensated Cirrhosis, Hepatic Encephalopathy,…
LAD OMI missedmasquerading BBBmissed OMIMissed OMI and diedMissed OMI sent homeRBBB and LAFBsubacute MI14 Min Read Hans HelsethonApril 18, 2025 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…