cardiac arrest due to missed OMIInferior OMI Subtlemissed OMIMissed OMI and diedPositive Predictive ValuePretest Probability7 Min Read Steve SmithonFebruary 10, 2026 A 50-something with chest pain. Look what happens if you don’t use the Queen of Hearts. I came across this ECG while reading through all the ECGs on the system. The computer interpretation, confirmed by a cardiologist, is: = = =…
Pretest ProbabilitySilent Myocardial Infarction8 Min Read Steve SmithonMay 8, 2025 The Queen always asks (if she sees OMI) “Is there a clinical suspicion of acute coronary syndrome” This was sent by Asad Tasleem, an Emergency Medicine resident in Pakistan: “I am an ED Resident in a tertiary care Hospital…
Positive Predictive ValuePretest Probability6 Min Read Willy FrickonJuly 2, 2024 Concerning ECG from the patient in trauma bay 2. Activate the Cath Lab? Written by Willy Frick You are sitting at your desk, catching up on your charting, and a nurse hands you the following ECG for interpretation.…
GERD (reflux) diagnosishyperacute T-waves TallPretest ProbabilityQueen false negativesserial ECG8 Min Read Steve SmithonOctober 14, 2023 This ECG was texted to me after the fact with no information. What do you think? This ECG was texted to me with no other information, with this quote: “You will see this in the Queen of Hearts.” I assumed…