OMI: STEMI & Beyond
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STAT ECG Diagnoses: early ECG signs of cardiac ischemia and acute coronary occlusion
A 72-year-old woman is brought to the emergency department by EMS with acute chest pain and shortness of breath. The following ECG is obtained on arrival:
STAT ECG Diagnoses: how to identify acute coronary occlusion myocardial infarction in patients with right bundle branch blocks (RBBB)
A 61-year-old man presents to the emergency department with acute chest pain associated with diaphoresis and appears pale. While obtaining a history and performing a physical exam the patient has…
STAT ECG Diagnoses: how to identify acute coronary occlusion MI in patients with LVH with strain pattern
A 60-year-old man presents to the emergency department with central chest pain for the last 2.5 hours concerning for cardiac ischemia. The following ECG is obtained on arrival:
Literature Review: STEMI vs. acute pericarditis
A 44-year-old man with no significant past medical history presents to the emergency department with chest pain. The following ECG is obtained:
Literature Review: 2022 ACC Expert Consensus Decision Pathway on the Evaluation and Disposition of Acute Chest Pain in the Emergency Department Highlights
A 60-year-old man is brought into the emergency department by EMS for acute onset chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained on…
STAT ECG Diagnoses: causes of right axis deviation, and evaluation of ST segments in patient with right bundle branch block (RBBB)
An 80-year-old man presents to an emergency department in Chile with chest pain radiating to the right shoulder and back. The following ECG is obtained on arrival and computer interpreted…
ECG Basics and Fundamentals: subtle early signs of acute cardiac ischemia
A 57-year-old man presents to the emergency department with chest pain concerning for MI. The following ECG is obtained with no prior ECGs available for comparison. Cardiology is contacted and…
STAT ECG Diagnoses: findings of occlusion MI in patients with right bundle branch block (RBBB)
A 51-year-old man presents to the emergency department with acute chest pain and shortness of breath. The following ECG is obtained with no priors available for comparison:
Differential Diagnoses: findings of occlusion MI in patients with right bundle branch block (RBBB), prolonged QT intervals, and so much more!
A 64-year-old man with history of pulmonary embolism (on apixaban) presents to the ED with shortness of breath and lower extremity edema. He also reports mild headache and is noted…
STAT ECG Diagnoses: what to do when the ST segment elevation in presumed STEMI resolves before patients get to the cath lab?
A 62-year-old woman is brought to the ED with severe chest pain radiating to the left shoulder. Pain is associated with shortness of breath, nausea, and diaphoresis. The following ECGs…
STAT ECG Diagnoses: can you have a STEMI without any ST segment elevation on the 12 lead ECG?
A 43-year-old woman is brought to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
STAT ECG Diagnoses: using ectopy and premature ventricular contractions (PVCs) to diagnose occlusion MI
A 62-year-old woman is brought to the ED by EMS with severe chest pain, shortness of breath, nausea, and diaphoresis. The following EMS ECG was obtained:
STAT ECG Diagnoses: identification of acute coronary occlusion myocardial infarction in patients with bundle branch blocks
A 70-year-old woman is brought into the ED by EMS with shortness of breath, weakness, and hypotension. The following prehospital ECG is obtained:
Literature Review: diagnosis of acute coronary occlusion myocardial infarction in patients with ventricular paced rhythms
A 65-year-old woman presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
STAT ECG Diagnoses: the basics of left bundle branch blocks (LBBB) and how to identify occlusion MI in these patients
A 65-year-old man presents to the ED with chest pain and diaphoresis concerning for an acute coronary syndrome. The following ECG is obtained:
STAT ECG Diagnoses: any ST segment elevation in patients with right bundle branch blocks (RBBB) is abnormal!
HPI: A 70-year-old male with PMHx of HTN, DM, CKD, and CAD is brought to the emergency department with chest pain and shortness of breath. The following ECG is obtained…
STAT ECG Diagnoses: the ECG in patients with significant left ventricular hypertrophy (LVH) and how to identify occlusion MI in these patients (part 2/2)
LVH with strain pattern may mimic anterior coronary occlusion and is known to be a common cause of “false-positive” cath lab activations. The following prehospital ECGs were obtained in patients…
STAT ECG Diagnoses: the ECG in patients with significant left ventricular hypertrophy (LVH) and how to identify occlusion MI in these patients (part 1/2)
LVH with strain pattern may mimic anterior coronary occlusion and is known to be a common cause of “false-positive” cath lab activations. The following prehospital ECGs were obtained in patients…
Literature Review: cardiac risk factors and the risk of myocardial infarction (MI) in habitual marijuana use
A 25-year-old male is brought into the ED by EMS with acute onset chest pain. He has no significant past medical history or known cardiac risk factors but reports smoking…
ECG Basics and Fundamentals: the isoelectric baseline used to evaluate ST segment deviation
A 45-year-old woman presents to the ED with severe chest pain. She is minimally cooperative when trying to obtain a history and is requesting pain medication for severe pain. Physical…
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