A man in his 50s with schizophrenia, hypoglycemia, and vague chest pain and shortness of breath for a few days
Written by Pendell Meyers with edits by Steve Smith Bystanders called EMS for a man in his 50s “not acting right.” Medics found a…
A man in his 30s with greater than 12 hours of chest pain
Written by Bobby Nicholson MD, with edits by Meyers A man in his early 30s presented at 7:35am to the ED with chest pain (7/10)…
This patient with “NSTEMI” was not allowed to go to the cath lab. Then the ED provider obtained an emergent coronary CT angio. What do you think it showed?
Submitted by Shakita Crichlow MD, edits by Meyers A female in her 60s presented with chest pain off and on starting the day before…
A woman in her 40s with palpitations and chest pressure of unusual etiology
Submitted and written by Magnus Nossen MD from Norway, with some minor edits by Meyers and Smith A female in her 40s with no known cardiac…
Getting It Right Despite the Wrong Paradigm
Written by Alex Bracey, edits by Meyers and Smith A 50 something year old male presented to the ED as a transfer from an outside hospital with…
Chest pain with ventricular paced rhythm – will you be able to rise above the STEMI paradigm and figure out what to do?
Submitted by Marie Wofford MD and Mark Kastner MD, edits by Smith and Meyers An 86 year old with prior history of CAD and PCI, aortic…
When there is less than 1 mm of ST depression, can you make the diagnosis of posterior OMI?
Submitted and written by Alex Bracey MD, edits by Smith and Meyers I went to see the next patient who had presented to the Emergency…
A man in his early 40s with chest pain: STD in V1-V4, but posterior lead are negative
Written by Pendell Meyers A man in his early 40s with hyperlipidemia and family history of MI presented at 545 AM with acute onset substernal…
Our newest OMI publication, in JEM – Comparison of the STEMI vs. NSTEMI and Occlusion MI vs. NOMI paradigms of acute MI
See our newest OMI publication in JEM Free full text here: https://authors.elsevier.com/c/1cCuk2dT1Cnr6k Comparison of the ST-elevation…
A 49 year old man with chest pain. Is it OMI? is it pseudonormalization?
Written by Pendell Meyers Before we get to the whole case, let’s interpret this ECG without any other context except to say that…