2010 Chest Pain STEMI 
Dr. Smith's ECG Blog
MAY 27, 2024
Written by Jesse McLaren, with a very few edits by Smith A 60-year-old presented with chest pain. The ECG did not meet STEMI criteria, and the final cardiology interpretation was “ST and T wave abnormality, consider anterior ischemia”. But STEMI criteria is only 43% sensitive for OMI.[1]
Dr. Smith's ECG Blog
MAY 2, 2019
Written by Pendell Meyers I received this prehospital ECG (we receive prehospital ECGs by telemetry from EMS in a large area around our hospital) and was told that there was a patient in her 50s with chest pain who was headed to an outside hospital (which happens to be a catheterization center). Here is the ECG: What do you think?
Dr. Smith's ECG Blog
MAY 19, 2022
Written by Pendell Meyers, edits by Smith and Grauer A man in his late 20s with history of asthma presented to the ED with a transient episode of chest pain and shortness of breath after finishing a 4-mile run. His symptoms of chest pain and shortness of breath were attributed to an asthma exacerbation during exercise.
Dr. Smith's ECG Blog
SEPTEMBER 20, 2011
He did not state he had chest pain, but, then again, he couldn't remember anything. This is as clear a STEMI as you can get. So this is classic inferoposterior STEMI on the ECG but is NOT acute coronary syndrome! This 80 year old with a history of CABG had a cardiac arrest. The Q-wave in lead III persists.
Dr. Smith's ECG Blog
JUNE 27, 2024
COACT: The COACT trial was fatally flawed, and because of it, many cardiologists are convinced that if there are no STEMI criteria, the patient does not need to go to the cath lab. N Engl J Med [Internet] 2019;Available from: [link] Should all patients with shockable arrest be taken to angiography regardless of STEMI or No STEMI?
Dr. Smith's ECG Blog
OCTOBER 6, 2018
We knew only that the ECG belonged to a man in his 50s with chest pain and normal vitals. The day prior to presentation (about 12 hours prior to presentation) he described sudden onset chest pain and shortness of breath while gardening in his back yard. He had no further pain and went to bed that night with no complaints.
Ken Grauer, MD
MAY 28, 2024
Please N OTE: I divided my comments into 2 "parts" regarding the use of comparison tracings: i ) Comparison of one 12-lead ECG with another ( ie, including use of serial ECGs in a patient with chest pain — and how BEST to use a prior "baseline" tracing ) ; — and — ii ) Optimal use of comparison tracing with cardiac arrhythmias!
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