What is this Pattern? Is an initial troponin I of 45 ng/L diagnostic?
A middle aged male presented with acute chest pain. He was seen by Emily Dawra, one of our 2nd year EM residents, about to become 3rd year in…
Everyone sees ST depression, but what does it mean?
Written by Willy Frick A man in his 70s with hypertension and type 2 diabetes mellitus presented with chest pain which awoke him from…
Even in retrospect, no one could see it.
This was sent to me by a former resident who is outstanding at reading ECGs for OMI. “Hi Steve wonder what you think of this ecg in a 60…
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)…
“The dye don’t lie” …except when it does. Angiogram Negative, or is it?
Written by Willy Frick See the fascinating discussion on X started by this post. Link below. A 40 year old woman was at home…
Which of these, if either, is OMI? Which of these underwent emergent angiography and PCI? Which should have?
Sent by anonymous, written by Pendell Meyers Case 1: A man in his 50s presented with acute chest pain. Normal vital signs. Here is his…
See how bad the outcome can be if you don’t know OMI findings on the ECG, and don’t use the Queen of Hearts
This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech. How is it possible that a…
A man in his 50s with unwitnessed VF arrest, defibrillated to ROSC, and no STEMI criteria on post ROSC ECG. Should he get emergent angiogram?
Written by Pendell Meyers A man in his 50s was found by his family in cardiac arrest of unknown duration. His family started CPR and called…
60 year old with chest pain, STEMI negative. What should the discharge diagnosis be?
Written by Jesse McLaren A previously healthy 60 year old developed exertional chest pain with diaphoresis, and called EMS.…