Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?
Written by Jesse McLaren Four patients presented with chest pain. All initial ECGs were labeled ‘normal’ or ‘otherwise normal’ by the computer…
50 year-old in remote rural community with chest pain and ‘normal’ ECG
Submitted by anonymous, edited by Jesse McLaren The first person “I” and “me” is this anonymous sender. A 50…
Computer: “Normal ECG,” TIMI-3 flow at angiography: Does this ECG manifest Occlusion MI?
A 60-something awoke with 10/10 crushing chest pain. He walked in to triage. Here is the ECG: Computer interpretation: Normal…
I was reading ECGs on the system when I came across this one, called “normal” by the conventional computer algorithm
I come in early for every shift to read the ECGs on the system that have not yet been “confirmed”. I came across this one:…
A 40-something male with resolving chest pain and a “Normal ECG” by computer and cardiology overread
A 40-something male presented by ambulance with one hour of chest pain that was improving after sublingual nitroglycerine and 325 mg of…
A man in his early 40s with chest pain a “normal ECG” by computer algorithm. Should we avoid interrupting a physician to interpret his ECG?
Written by Pendell Meyers A man in his early 40s experienced acute onset chest pain. The chest pain started about 24 hours ago, but there was…
A 50-something with acute chest pain, a computer “Normal” ECG, and a HEART score of 3 (low risk)
A 50-something with no previous cardiac history and no risk factors presented to the ED with acute chest pain (pressure) that radiated to the…
50 year old with acute chest pain, with ‘normal’ ECG and falling troponin
Written by Jesse McLaren, with comments from Smith A 50-year old patient on the medical wards developed acute chest pain, with an ECG labeled…
30-something woman with a HEART score of zero, EDACS of 2, computer “Normal” ECG, and initial troponin < Limit of Detection
I was working in triage very late when a 30 yo previously completely healthy woman walked in with 30 minutes of central chest pressure. This…