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7 Min Read

onOctober 23, 2022

30 yo woman with trapezius pain. HEART Pathway = 0. Computer “Normal” ECG. Reality: ECG is Diagnostic of LAD Occlusion.

This is a repost of this amazing case: Echocardiography, even (or especially) with Speckle Tracking, can get you in trouble. The ECG…

Normal ECG by computer algorithm

5 Min Read

Steve Smith

onJuly 16, 2022

A Middle Aged Male diagnosed with Gastroesophageal Reflux

This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. He had been at a clinic that day where he…

13 Min Read

Jesse McLaren

onApril 22, 2022

Chest pain, a ‘normal’ ECG, a ‘normal trop’, and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chest…

7 Min Read

Jesse McLaren

onFebruary 10, 2022

Occlusion/reperfusion through 6 ‘normal’ ECGs

This is written and contributed by Jesse McLaren (@ECGCases), with comments and edits by Smith, and commentary by Ken Grauer (@EKGPress) An 80…

7 Min Read

Steve Smith

onFebruary 4, 2022

This ECG was interpreted as completely NORMAL by the computer: What about it is THE critical finding??

A 40 something otherwise healthy man presented with substernal chest pain. It had occurred once 3 days prior and resolved without any…

Normal ECG by computer algorithm

2 Min Read

Brooks Walsh

onJuly 26, 2021

Computer says “normal,” troponin undetectable.

This was written by @BrooksWalsh, with one comment by Smith A middle-aged guy comes in with chest pain. No known cardiac disease, and he’s…

2 Min Read

Brooks Walsh

onMarch 13, 2021

Trust a computer read of “Normal ECG” at your peril!

This case was contributed by Brooks Walsh, an emergency physician in Connecticut. Don’t trust the “Normal ECG” It’s…

11 Min Read

Pendell Meyers

onAugust 8, 2020

A middle aged female with “heartburn” and a “normal ECG” per the computer

This is a re-posting of a Tweet by Robert Jones (@RJonesSonoEM), reproduced with permission, written by Pendell Meyers A middle aged female…

5 Min Read

Steve Smith

onAugust 1, 2020

Computer and transferring physician say “normal.” What do you think?

This was sent by Guillaume Debaty, from the Grenoble Region of France. He has done a lot of great work on cardiac arrest, including as…

5 Min Read

Steve Smith

onAugust 17, 2019

Acute Chest pain in a 50-something, and a “Normal” ECG

Chris Mondie of the Newark Beth Israel Emergency Medicine Residency sent this case A 50-something man presented with acute…

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Normal ECG by computer algorithm

30 yo woman with trapezius pain. HEART Pathway = 0. Computer “Normal” ECG. Reality: ECG is Diagnostic of LAD Occlusion.

A Middle Aged Male diagnosed with Gastroesophageal Reflux

Chest pain, a ‘normal’ ECG, a ‘normal trop’, and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.

Occlusion/reperfusion through 6 ‘normal’ ECGs

This ECG was interpreted as completely NORMAL by the computer: What about it is THE critical finding??

Computer says “normal,” troponin undetectable.

Trust a computer read of “Normal ECG” at your peril!

A middle aged female with “heartburn” and a “normal ECG” per the computer

Computer and transferring physician say “normal.” What do you think?

Acute Chest pain in a 50-something, and a “Normal” ECG