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…
LAD occlusionOMIPrecordial swirlSTEMISubtle LADSubtle LAD Occlusion6 Min Read Pendell MeyersonApril 20, 2019 How long would you like to wait for your Occlusion MI to show a STEMI? Sometimes serial ECGs minimizes the delay. Written by Pendell Meyers An elderly woman presented with acute onset chest pain and shortness of breath. EMS showed us their ECG on…
hyperacute T-wavesinferior hyperacute T-wavesInferior MI subtleinferior STEMIinferoposterior STEMIpseudonormalizationRV MISTEMISubtle STE3 Min Read Pendell MeyersonNovember 15, 2017 A male in his 50s with chest pain. What is your interpretation? Written by Pendell Meyers, edits by Smith: A male in his 50s with no significant past medical history complained of several episodes of chest…
pseudonormalizationSTEMI1 Min Read Steve SmithonJanuary 12, 2010 Anterior pseudonormalization A 68 year old male with no previous h/o MI presented after 2 weeks of exertional dyspnea. On the day of presentation, he was shoveling snow…
discordantproportionPVCSTEMI1 Min Read Steve SmithonNovember 29, 2009 STEMI best seen in PVC See this post for a wide complex that hides ischemic findings. See this post for a difficult diagnosis in the context of a wide complex. Case…
evolving STEMILBBBleft bundle branch blockmissed STEMIserial ECGserial EKGSTEMI2 Min Read Steve SmithonJanuary 8, 2009 If there is high suspicion for ischemia, do serial EKGs and pay attention to them! Case 1) This is the initial EKG of a 60 yo male with a couple days of stuttering chest pain. He is pain free at the time of the EKG at 2100.…