Chest Pain ResolutionLAD OMI missedOMI with initial negative troponinPrecordial swirl9 Min Read Willy FrickonJanuary 24, 2025 Should we wait for troponin when the ECG does not show “diagnostic” ST Elevation? Written by Willy Frick A 52 year old man with hypertension, dyslipidemia, and seropositive rheumatoid arthritis (a risk factor for CAD)…
LAD occlusionOMI with initial negative troponinRBBB and LAFB in LAD OMI5 Min Read Pendell MeyersonSeptember 13, 2024 Acute chest pain, right bundle branch block, no STEMI criteria, and negative initial troponin. Written by Pendell Meyers A man in his 40s called EMS for acute chest pain that awoke him from sleep, along with nausea and shortness of…
High Sensitivity Troponinhigh sensitivity troponin negative in OMIOMI with initial negative troponinUnstable Angina in the era of High sensitivity troponin9 Min Read Willy FrickonJanuary 5, 2024 Three normal high sensitivity troponins over 4 hours with a “normal ECG” Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of “chest…
computerLAD occlusionlateral STEMINormal ECG by computer algorithmOMIOMI with initial negative troponinpericarditis-NOTq-wavesSTEMITriage ECGTriage Occlusiontroponin11 Min Read Pendell MeyersonAugust 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…
cardiac arresthyperacute T-wavesLAD occlusionOMI with initial negative troponinPrecordial swirlSubtle LADSubtle LAD Occlusion10 Min Read Pendell MeyersonJune 15, 2020 A man in his 60s with shockable arrest, then ROSC, and no STEMI – what will you do? Case submitted by Allie Oberst and Ashley Mogul, edits by Pendell Meyers and Steve Smith A male in his late 60s with PMH of poorly controlled…