What does this ECG represent in the setting of “negative” troponins?
This was written by Mark Hellerman, a Cardiology Fellow at Stony Brook. He has a bunch of great videos on OMI and other cardiology topics…
Chest pain, normal ECG, and serial undetectable high sensitivity troponins. Should we do further testing?
Many authors state that if troponins are undetectable and ECG is normal, no further testing should be done. For example, in JACC:…
Dynamic OMI ECG. Negative trops and negative angiogram does not rule out coronary ischemia or ACS.
By Smith, peer-reviewed by Interventional Cardiologist Emre Aslanger Submitted by anonymous A 53 y.o. male presents to the ED at 6:45 AM with…
Three normal high sensitivity troponins over 4 hours with a “normal ECG”
Written by Willy Frick A 46 year old man with a history of type 2 diabetes mellitus presented to urgent care with complaint of “chest…
63 year old with “good story for ACS” but negative troponins…..
This was texted to me from a former resident, while working at a small rural hospital, with the statement: “I can’t convince…
Unstable Angina still exists. It can be missed especially high sensitivity troponin is not used. Sometimes you can catch it on the ECG.
A 50-something woman with H/o HTN, ESRD, CAD S/p complex PCI to ostial LAD and ramus (10/2020) and CABG x3 (LIMA to LAD, SVG to…
When Normal is only Pseudo-Normal, it can deceive the caregivers.
An Aussie friend down under sent me this case. A 70-something male presented with sharp stabbing central CP. Here is the initial…