OMI

Results:
Weekly Workout July 7, 2025
Beyond ST Elevation: Guideline Based Cath Lab Activation

A 61-year-old woman with PMHx of prior MI presents with acute midsternal chest pain that radiates to the left shoulder. Symptoms have been intermittent for the fast few weeks, without…

ECG STAT July 4, 2025
Occlusion MI: STEMI Criteria & Beyond

Key Points A STAT ECG is the most critical first test in patients with suspected acute coronary syndrome (ACS). It allows for early identification of acute coronary occlusion myocardial infarction…

ECG STAT June 17, 2025
Occlusion MI Patterns in Left Bundle Branch Block

Key Points LBBB Does Not Exclude Acute Coronary Occlusion: LBBB alters ventricular activation, leading to expected secondary ST/T abnormalities. However, acute occlusion myocardial infarction (OMI) can and must still be…

Weekly Workout April 28, 2025
Aslanger’s Pattern and the Limits of Traditional STEMI Criteria

A 76-year-old man presents to the emergency department with shortness of breath, severe weakness, diaphoresis, and confusion. The following ECG is obtained on arrival:

Weekly Workout June 5, 2022
Potpourri of cases: using Sgarbossa criteria to diagnose acute occlusion myocardial infarction in LBBB and RV pacers, bizzare bradycardias, and so much more!

A 70-year-old male with PMHx of HTN, HFrEF, and atrial fibrillation presents to the ED with nausea and lightheadedness. He is noted to be bradycardic on arrival. The following ECG…

Weekly Workout January 3, 2022
EMS ECGs: hypothermia emergencies, accelerated idioventricular rhythm (AIVR), and so much more!

 A 63-year-old male presents to the ED with chest ache, near syncope, and exertional lightheadedness. The following ECG is obtained: 

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