HPI: A 64-year-old man presents to the ED with chest tightness that radiates bilaterally, associated with diaphoresis. The following ECG is obtained at triage and computer interpreted as normal:
Before watching this week’s video, ask yourself these questions:
- Do you notice any ECG abnormalities the computer may have missed?
- What is the negative predictive value of an ECG computer interpreted as normal?
- Would you prioritize triage of this patient based on this history and ECG?
- Is it acceptable to miss a clinically significant ECG case every month in your practice?