Is it possible that this patient with acute chest pain and this ECG does not need emergent intervention?
Case submitted by Andrew Grimes, Advanced Care paramedic, with additions from Jesse McLaren and Smith An 84-year-old male with a…
Patient with STEMI (-) OMI is now pain free. Is there need for emergent cath lab activation?
I was reading through a stack of ECGs to put in the formal interpretation, and came across this one: This was my interpretation without having…
The VERDICT Trial
Written by Pendell Meyers, with edits by Steve Smith The VERDICT trial was recently published. This is yet another study looking at the…
18 hours of intermittent chest pressure
A male in his 60’s with no previous cardiac history complained of substernal chest pain intermittently for 18 hours. It has more…
Smith SMACC-Gold Lecture in on the Intensive Care Network: Subtle ischemia, or NonSTEMI that need the Cath Lab Now
This is the 30 minute lecture I gave at Social Media and Critical Care (SMACC) on the Gold Coast of Australia in March. It is called…
Anterior MI: Ongoing STEMI, reperfused STEMI, or NonSTEMI?
An 80 yo male presented with chest pain onset 1130 AM. The prehospital ECG was reported to have some “ST depression”,…
ST depression V2-V4: Posterior leads, resolution of pain, and absence of posterior wall motion abnormality ruled out posterior STEMI
I saw this 59 year old male 3 weeks ago. He had no previous history of CAD, and presented with very typical waxing and waning chest pain, much…