2024, Chest Pain and Electrocardiogram

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

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. Inferior hyperacute T waves, which have been added to the 2022 ACC consensus on chest pain as a “STEMI equivalent”[3] 3. Int J Cardiol 2024 2. Eur Herat J Digital Health 2024 Nikus et al. Kontos et al.

Chest Pain

Chest Pain STEMI Myocardial Infarction Ischemia

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

Written by Jesse McLaren A 50 year old presented to triage with one hour of chest pain, and the following ECG labeled normal by the computer (GE Marquette SL) algorithm. Emergent cardiac outcomes in patients with normal electrocardiograms in the emergency department. West J Emerg Med [Internet] 2024 [cited 2024 Aug 26];25(1):38.

Chest Pain

Chest Pain Outcomes STEMI Electrocardiogram

Is OMI an ECG Diagnosis?

Dr. Smith's ECG Blog

APRIL 18, 2024

Written by Jesse McLaren A 70 year old with prior MIs and stents to LAD and RCA presented to the emergency department with 2 weeks of increasing exertional chest pain radiating to the left arm, associated with nausea. Int J Cardiol 2024 3. Eur Heart J Digital Health 2024 5. Lupu et al. Clin Cardiol 2022 4.

STEMI

STEMI Chest Pain Myocardial Infarction Blog

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What if your system adopted the recommendation that a computer "normal" ECG need not be shown to the doctor?

Dr. Smith's ECG Blog

JUNE 11, 2024

Sent by anonymous A man in his 40s with no previous heart disease presented within 30 minutes of onset of acute chest pain that started while exercising. Three patients with chest pain and “normal” ECGs: which had OMI? Four patients with chest pain and ‘normal’ ECG: can you trust the computer interpretation?

Chest Pain

Chest Pain STEMI Blog Exercise

Abstract 4136784: Diagnostic significance and prognosis prediction of electrocardiogram plane QRS-T angle in patients with non-ST segment elevation acute coronary syndrome

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4136784-A4136784, November 12, 2024. Plane QRS-T angle (PQRS-Ta) can be used as a supplement to the current diagnostic criteria of ECG.Methods:The patients with recurrent chest pain in our hospital were analyzed retrospectively, and the plane QRS-T angle of the patients was calculated.

Electrocardiogram

Electrocardiogram Chest Pain Circulation Hospital

Cardiovascular disease development in COVID-19 patients admitted to a tertiary medical centre in Iran

The British Journal of Cardiology

JUNE 11, 2024

Cardiovascular consultation had been requested for all of the patients based on their primary clinical examination, vital signs, and electrocardiogram (ECG). Manifestations of CVDs, such as chest pain, abnormal serum markers, unstable angina, myocardial infarction (MI), myocarditis, and new-onset hypertension, were documented.

COVID-19

COVID-19 Cardiovascular Disease Angina Chest Pain

Abstract 4135360: Eosinophilic Myocarditis: An Atypical Presentation with a Labile Course: A Case Report

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4135360-A4135360, November 12, 2024. Case presentation:A 64-year-old man presented with one day of chest pain. Electrocardiogram (EKG) was unremarkable. Initial evaluation showed elevated cardiac enzymes (CE) and normal eosinophil count.

Myocardial Infarction

Myocardial Infarction Coronary Angiogram Echocardiogram Chest Pain

See how bad the outcome can be if you don't know OMI findings on the ECG, and don't use the Queen of Hearts

Dr. Smith's ECG Blog

JULY 11, 2024

The attending provider wrote “Agree with electrocardiogram interpretation”. No patient with chest pain should be sent home without troponin testing. The computer diagnostic algorithm diagnosed “Sinus rhythm. Normal EKG”. The cardiologist overread was: Sinus Rhythm. Normal ECG.

Outcomes

Outcomes Stenosis Outpatient Echocardiogram

New Studies: AI Captures Electrocardiogram Patterns That Could Signal a Future Sudden Cardiac Arrest

DAIC

MARCH 1, 2024

Photo by Cedars-Sinai milla1cf Fri, 03/01/2024 - 08:25 March 1, 2024 — Two new studies by Cedars-Sinai investigators support using artificial intelligence (AI) to predict sudden cardiac arrest-a health emergency that in 90% of cases leads to death within minutes. Sumeet Chugh, MD.

Cardiac Arrest

Cardiac Arrest Electrocardiogram Defibrillator Electrophysiology

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

Written by Jesse McLaren Two patients presented with acute chest pain, and below are the precordial leads V1-6 for each. Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review. J Electrocardiol 2017 2. McLaren, Meyers, Smith and Chartier.

Chest Pain

Chest Pain STEMI Myocardial Infarction Blog

Abstract 4134796: Safety of over 1000 consecutive, selected low risk patients with accelerated discharge from a chest pain unit with early generation cardiac troponin use, no cardiac functional or anatomic testing and no clinical risk scores

Circulation

NOVEMBER 11, 2024

Circulation, Volume 150, Issue Suppl_1 , Page A4134796-A4134796, November 12, 2024. Introduction:Over 6 million patients (pts) present to US emergency departments annually with chest pain (CP), of which the majority are found to have no serious disease.

Chest Pain

Chest Pain ACE Inhibitor Cardiac Function Coronary Artery Disease

New Technology Promises to Revolutionize Valvular Heart Disease Care

DAIC

APRIL 1, 2024

Getty Images milla1cf Mon, 04/01/2024 - 08:21 April 1, 2024 — Roughly 25,000 Americans die each year from valvular heart disease, but researchers from Rutgers Health and other institutions conclude that new technology could soon help doctors slash that number. “We percent of all Americans and 13 percent of Americans over age 80.

Technology

Technology Heart Disease Innovation Ultrasound

Another MUST know ECG, and why its notoriety annoys Dr. Smith

Dr. Smith's ECG Blog

JANUARY 31, 2025

The patient contacted the ambulance service after he experienced sudden onset chest pain and diaphoresis that had started 20 minutes prior. The de Winter electrocardiogram pattern is an infrequent presentation, reported to occur in 2% to 3.4% The above ECG is from man in his 80s with crushing chest pain.

STEMI

STEMI Chest Pain Myocardial Infarction Ischemia

Cardiovascular Update

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

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

Is OMI an ECG Diagnosis?

Webinars

What if your system adopted the recommendation that a computer "normal" ECG need not be shown to the doctor?

Abstract 4136784: Diagnostic significance and prognosis prediction of electrocardiogram plane QRS-T angle in patients with non-ST segment elevation acute coronary syndrome

Cardiovascular disease development in COVID-19 patients admitted to a tertiary medical centre in Iran

Abstract 4135360: Eosinophilic Myocarditis: An Atypical Presentation with a Labile Course: A Case Report

See how bad the outcome can be if you don't know OMI findings on the ECG, and don't use the Queen of Hearts

New Studies: AI Captures Electrocardiogram Patterns That Could Signal a Future Sudden Cardiac Arrest

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

Abstract 4134796: Safety of over 1000 consecutive, selected low risk patients with accelerated discharge from a chest pain unit with early generation cardiac troponin use, no cardiac functional or anatomic testing and no clinical risk scores

New Technology Promises to Revolutionize Valvular Heart Disease Care

Another MUST know ECG, and why its notoriety annoys Dr. Smith

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