2021 and Electrocardiogram - Cardiovascular Update

Chest pain: Are these really "Nonspecific ST-T wave abnormalities", as the cardiologist interpretation states?

Dr. Smith's ECG Blog

MAY 27, 2024

Curr Cardiol Red 2021 3. J Am Heart Assoc 2021 6. IJC Heart and Vasc 2021 8. IJC Heart and Vasc 2021 8. International evaluation of an artificial intelligence-powered electrocardiogram model detecting acute coronary occlusion myocardial infarction. Int J Cardiol 2024 2. Nikus et al. Kontos et al. Phibbs and Nelson.

Chest Pain

Chest Pain STEMI Myocardial Infarction Ischemia

Use of downstream stress imaging tests for risk stratification of patients presenting to the emergency department with chest pain and low HEART score

Open Heart

AUGUST 25, 2024

Background Patients with low HEART (History, Electrocardiogram, Age, Risk factors, and Troponin level) risk scores who are discharged from the emergency department (ED) may present clinical challenges and diagnostic dilemmas. Methods We prospectively included 1384 patients with LRHSs between March 2019 and March 2021.

Chest Pain

Chest Pain Coronary Artery Disease Myocardial Infarction Electrocardiogram

Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?

Dr. Smith's ECG Blog

OCTOBER 18, 2023

4,5] We have now formally studied this question: Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review.[6] Safety of computer interpretation of normal triage electrocardiograms. 2021 ; 46 : 23 - 26 4. Acad Emerg Med. Am J Emerg Med.

Chest Pain

Chest Pain STEMI Electrocardiogram Ischemia

Webinars

Bridging Innovation & Patient Care: The Growing Role of AI

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Supercharging the ECG: AI set to Revolutionize the Diagnostic Cardiology Market

DAIC

JUNE 19, 2024

Signify Research has just released a deep-dive qualitative analysis of developments around the use of AI to analyze and interpret electrocardiograms (ECGs), one of the world’s most ubiquitous diagnostic tests for cardiac disease. Active vendors in this space (i.e.,

AFIB

AFIB Reimbursement Research Atrial Fibrillation

Chest pain and computer ‘normal’ ECG. Wait for troponin? And what is the reference standard for ECG diagnosis? Cardiologist or outcome?

Dr. Smith's ECG Blog

MARCH 10, 2025

Weve also published the largest study on this question: Emergency Department Code STEMI patients with initial electrocardiogram labeled normal by computer interpretation: a 7-year retrospective review. Emergent cardiac outcomes in patients with normal electrocardiograms in the emergency department. 2021 ; 46 : 23 - 26.

Chest Pain

Chest Pain Outcomes STEMI Electrocardiogram

Italy’s Pioneering Push for Telemedicine. Supported by AI

Cardiomatics

JUNE 6, 2024

This is radically simplifying the patient pathway for Electrocardiogram (ECG) tests. The Covid-19 emergency in 2021 accelerated the regulatory shift by highlighting the need not to overload hospital structures as well as the opportunities offered by digital healthcare.

COVID-19

COVID-19 Hospital Outpatient Innovation

See OMI vs. STEMI philosophy in action

Dr. Smith's ECG Blog

DECEMBER 22, 2022

Smith , d and Muzaffer Değertekin a DIFOCCULT: DIagnostic accuracy oF electrocardiogram for acute coronary OCClUsion resuLTing in myocardial infarction. His first electrocardiogram ( ECG) is given below: --Sinus bradycardia. 2021 Sep;49(6):488-500. As he seemed very agitated, fentanyl and diazepam were given. doi: 10.5543/tkda.2021.21026.

STEMI

STEMI Chest Pain Myocardial Infarction Electrocardiogram

Impact of COVID-19 on Digital Cardiology Care

SoftCath

OCTOBER 31, 2021

Using digital cardiac care tools resulted in an increase considering their positive role in monitoring health through: Smoking cessation Weight loss programs Optimised blood pressure control Glycemic control in diabetes Lipid and cholesterol levels Recommended Read: Medical Imaging Emerging Trends in 2021 2.

COVID-19

COVID-19 Innovation Cardiac Rehabilitation Cardiovascular Disease

A man in his 70s with acute chest pain and paced rhythm.

Dr. Smith's ECG Blog

MAY 8, 2023

Annals of Emergency Medicine 2021. Electrocardiographic Diagnosis of Acute Coronary Occlusion Myocardial Infarction in Ventricular Paced Rhythm Using the Modified Sgarbossa Criteria. In which we compared ventricular paced OMIs with Non-OMIs and MI-ruled out patients. Back to the case: So next the ED physician simply collected serial ECGs.

Chest Pain

Chest Pain Myocardial Infarction STEMI Pacemaker

A young woman with epigastric pain. ECG Crochetage sign? What is the significance?

Dr. Smith's ECG Blog

JANUARY 8, 2020

A DDENDUM ( 5/8/2021 ) : Although descriptions vary in the literature that I've seen — true crochetage is said to occur on the upstroke of the R wave in inferior leads , occurring within the first 80 msec. See the 5 articles below. Our THANKS to Dr. Smith for presenting this case. STEVE — Is there any way to get follow-up on this case? =

Article

Article Electrocardiogram Pediatrics Stroke

A man in his early 40s with chest pain a "normal ECG" by computer algorithm. Should we avoid interrupting a physician to interpret his ECG?

Dr. Smith's ECG Blog

MAY 23, 2023

Epub 2021 Nov 17. Am J Emerg Med. 2022 Jan;51:384-387. doi: 10.1016/j.ajem.2021.11.023. 2021.11.023. We wrote this editorial on the above paper (full text). Reference: Bracey A, Meyers HP, Smith SW. Emergency physicians should interpret every triage ECG, including those with a computer interpretation of "normal".

Chest Pain

Chest Pain STEMI Blog Stent

Chest pain and shock: Is there a right ventricular OMI on this ECG? And should he undergo trancutaneous pacing?

Dr. Smith's ECG Blog

MAY 30, 2023

A 12-lead electrocardiogram, lead V4R , and leads V7-9 were recorded on admission. The November 27, 2021 post ( LA-RA reversal ). However, the impact of left ventricular posterior wall involvement (PWI) on the relation between ST upward arrow V4R and RVI is unknown. The February 11, 2020 post ( LA-RA reversal ).

Chest Pain

Chest Pain Myocardial Infarction STEMI Cardiogenic Shock

Dark Side of the Moon

EMS 12-Lead

APRIL 8, 2022

Non-ST-elevated myocardial infarction with “N” wave on electrocardiogram and culprit vessel in left circumflex has a risk equivalent to ST-elevated myocardial infarction. International Journal of Cardiology, 162 , 107-111. [4] 4] Yang, T., Clinical Cardiology, 43, 491-499. [5] 5] Meyers, H.

Myocardial Infarction

Myocardial Infarction Coronary Angiogram STEMI Ischemia

Two 70 year olds with chest pain, and 3 pitfalls of the STEMI paradigm

Dr. Smith's ECG Blog

FEBRUARY 13, 2023

Int J Cardiol Heart Vasc 2021 2. DIagnostic accuracy oF electrocardiogram for acute coronary OCClusion resulTing in myocardial infarction (DIFOCCULT study). Meyers et al. Accuracy of OMI findings versus STEMI criteria for diagnosis of acute coronary occlusion myocardial infarction. Aslanger et al. Int J Cardiol Heart Vasc 2020 3.

Chest Pain

Chest Pain STEMI Myocardial Infarction Electrocardiogram

The Bleeding Heart

EMS 12-Lead

APRIL 21, 2022

New insights into the use of the 12 Lead Electrocardiogram for diagnosing Acute Myocardial Infarction in the emergency department. Readers interested in a more robust discussion of STD vectors, and their implications in OMI, are encouraged to read this phenomenal post at the Smith ECG Blog. link] [1] Mirand, D. 2] Aslanger, E., 4] Meyers, H.

Ischemia

Ischemia Myocardial Infarction Blog Coronary Angiogram

This ECG was interpreted as completely NORMAL by the computer: What about it is THE critical finding??

Dr. Smith's ECG Blog

FEBRUARY 4, 2022

Emergent cardiac outcomes in patients with normal electrocardiograms in the emergency department. Epub 2021 Nov 17. Am J Emerg Med. 2022 Jan;51:384-387. doi: 10.1016/j.ajem.2021.11.023. 2021.11.023.

Chest Pain

Chest Pain STEMI Article Myocardial Infarction

Cardiology update: Should mRNA vaccine myocarditis be a contraindication to future COVID-19 vaccinations ?

Dr. Anish Koka

JANUARY 1, 2023

The diagnosis was made based on classic findings of inflammation on an electrocardiogram associated with acute chest pain. I have to make the obligatory post-script here that I oversaw the administration of hundreds of mrna vaccines starting in March of 2021 in my cardiology clinic. Anish Koka is a cardiologist.

COVID-19

COVID-19 Pericarditis Chest Pain Biomarkers

Two patients with chest pain, with QRS obscured: which was STEMI positive, and which had Occlusion MI?

Dr. Smith's ECG Blog

JANUARY 17, 2024

Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review. IJC Heart and Vasc 2021 5. International evaluation of an artificial intelligence-powered electrocardiogram model detecting acute coronary occlusion myocardial infarction.

Chest Pain

Chest Pain STEMI Myocardial Infarction Blog

A COVID19 vaccine exemption letter

Dr. Anish Koka

FEBRUARY 20, 2023

He received his first dose of a Pfizer mRNA COVID19 vaccine in June 2021. His cardiac testing completed to date consist of an electrocardiogram and an echocardiogram performed Feb 16th, 2023 that were both normal. What follows is data produced since the vaccine rollout that is relevant to Mr. Smith’s case.

COVID-19

COVID-19 Pericarditis Chest Pain Public Health

Chest pain: Are these really "Nonspecific ST-T wave abnormalities", as the cardiologist interpretation states?

Use of downstream stress imaging tests for risk stratification of patients presenting to the emergency department with chest pain and low HEART score

Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?

Webinars

Supercharging the ECG: AI set to Revolutionize the Diagnostic Cardiology Market

Chest pain and computer ‘normal’ ECG. Wait for troponin? And what is the reference standard for ECG diagnosis? Cardiologist or outcome?

Italy’s Pioneering Push for Telemedicine. Supported by AI

See OMI vs. STEMI philosophy in action

Impact of COVID-19 on Digital Cardiology Care

A man in his 70s with acute chest pain and paced rhythm.

A young woman with epigastric pain. ECG Crochetage sign? What is the significance?

A man in his early 40s with chest pain a "normal ECG" by computer algorithm. Should we avoid interrupting a physician to interpret his ECG?

Chest pain and shock: Is there a right ventricular OMI on this ECG? And should he undergo trancutaneous pacing?

Dark Side of the Moon

Two 70 year olds with chest pain, and 3 pitfalls of the STEMI paradigm

The Bleeding Heart

This ECG was interpreted as completely NORMAL by the computer: What about it is THE critical finding??

Cardiology update: Should mRNA vaccine myocarditis be a contraindication to future COVID-19 vaccinations ?

Two patients with chest pain, with QRS obscured: which was STEMI positive, and which had Occlusion MI?

A COVID19 vaccine exemption letter

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