The diagnosis is NSTEMI, a worthless diagnosis which harms patients.
Written by Magnus Nossen, with many comments by Smith A 50-something male with a medical hx of type I diabetes and hypertension…
Can you localize the culprit lesion on angiogram without taking ECG findings into account?
Written by Willy Frick A woman in her 60s with very severe hyperlipidemia (LDL >200 mg/dL) presented with acute onset chest pain. Her…
What happens when you give morphine for chest pain in ACS? And what is pseudo-normalization of T-waves?
Written by Magnus Nossen, with edits by Smith The patient in today’s case is a 70-year-old farmer. He has a history of coronary artery…
See What the Queen of Hearts could do in these 2 Rural Cases
You too can have the Queen of Hearts AI model Case 1. Case 1 is another case sent by and written by the undergraduate who works as an…
Crushing Chest Pain and Can’t see OMI on the ECG? Just give morphine, right?
Submitted anonymously, written by Willy Frick A man in his late 30s with a 10 pack-year smoking history presented with acute substernal…
A man in his 40s with 3 days of stuttering chest pain
Written by Willy Frick A man in his early 40s with BMI 36, hypertension, and a 30 pack-year smoking history presented with three days of chest…
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…
Morphine + OMI is a bad combination
This is written by Magnus Nossen, with some edits by Smith This ECG diagnosis will be obvious to the majority of the readers of this blog. It…
A man his 50s with chest pain. What happens when you treat with morphine rather than with reperfusion?
Written by Pendell Meyers A man in his late 50s presented to the ED with 3 days of left chest pain radiating into the jaw and neck. He…