Two patients with chest pain and RBBB: do either have occlusion MI?
Written by Jesse McLaren Two patients in their 70s presented to the ED with chest pain and RBBB. Do either, both, or neither have…
An elderly male with acute altered mental status and huge ST Elevation
Written by Bobby Nicholson What do you think of this “STEMI”? A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the…
If you were this patient, would you prefer to be managed with the Queen of Hearts?
Written by Pendell Meyers A man in his early sixties with no significant medical history (including a “negative cardiac workup a few…
A prehospital ECG in a patient with chest pain. The paramedics tell me it is normal.
I was working at triage when the medics brought this patient who is 65 yo and has had chest pain for 12 hours. They recorded a prehospital ECG…
Podcast on St. Emlyn’s: OMI NOMI and AI Queen of Hearts PMCardio app. Great questions by Iain Beardsell
Our latest @stemlyns podcast is an absolute cracker. A chat with @smithECGBlog about all things OMI and artificial intelligence for…
OMI can be very subtle and easy to miss, but be a very large infarction.
I was reading ECGs on the system and came across this one. What do you think? There is minimal STE in II, III, with an inverted…
Chest pain: Are these really “Nonspecific ST-T wave abnormalities”, as the cardiologist interpretation states?
Written by Jesse McLaren, with a very few edits by Smith A 60-year-old presented with chest pain. The ECG did not meet STEMI criteria,…
Early repol or anterior OMI?
Chest Pain – Benign Early Repol or OMI? Written by Destiny Folk, MD, Adam Engberg, MD, and Vitaliy Belyshev MD A man in his early 60s with a…
Two prehospital ECGs of patients with chest pain.
Written by Pendell Meyers and Steve Smith Here are two cases of middle-aged men with chest pain who had prehospital ECGs. Patient 1, ECG 1:…