ECG Weekly

Weekly Workout · #562 · October 6, 2025

STEMI in a Postpartum Woman: A Case Against Risk Factor Bias

HPI

A 28-year-old woman, 1 week postpartum, calls 911 for acute chest pressure. She has no significant past medical history or traditional cardiac risk factors. Paramedics obtain the following prehospital ECG that the computer interprets as “nonspecific ST abnormalities”. Trusting the machine, they do not activate a pre-alert, and the patient waits in the hallway for 30 minutes before anyone recognizes the obvious STEMI:

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