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:

Case ECG

Before watching this week’s video, ask yourself these questions:

  1. Do you notice any ECG abnormalities the computer may have missed?
  2. What is the negative predictive value of an ECG computer interpreted as normal?
  3. Would you prioritize triage of this patient based on this history and ECG?
  4. Is it acceptable to miss a clinically significant ECG case every month in your practice?



Case Interpretation

Review Key Teaching Points



Notes: Questions for Amal? Email him at amalmattu@comcast.net or find him on Twitter @amalmattu.

Kudos:  Thanks to Drs. Mike Barca, Thomas Cheung, Anna Marie Allen, Sean Fox for sharing cases this week!


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