Academic Chest Pain Myocardial Infarction 
Dr. Smith's ECG Blog
MAY 30, 2023
A 50-something man presented in shock with severe chest pain. We recorded an ECG in which V1-V3 were put in the position of V4R-V6R, and V4-6 were placed in V7-9 to (academically) confirm posterior OMI. I say academically because the STD in V2 is diagnostic -- posterior leads are NOT necessary. What to do?
Dr. Smith's ECG Blog
JANUARY 6, 2023
Submitted and written by Anonymous, edits by Meyers and Smith A 50s-year-old patient with no known cardiac history presented at 0045 with three hours of unrelenting central chest pain. The pain was heavy, radiated to her jaw with an associated headache. Academic Emergency Medicine 27(S1): S220. Abstract 556.
Dr. Smith's ECG Blog
MAY 31, 2023
A 67 yo f developed chest pain this morning." Opiates are associated with worse outcomes in Myocardial Infarction. See this case: A man his 50s with chest pain. Association between opioid analgesia and delays to cardiac catheterization of patients with occlusion Myocardial Infarctions.
Dr. Smith's ECG Blog
NOVEMBER 3, 2023
A man in his 70s with past medical history of hypertension, dyslipidemia, CAD s/p left circumflex stent 2 years prior presented to the ED with worsening intermittent exertional chest pain relieved by rest. This episode of chest pain began 3 hours ago and was persistent even at rest. Troponin was ordered. Eur J Emerg Med.
Dr. Smith's ECG Blog
JUNE 12, 2017
This was sent by : Jacob Smith, DO Emergency Medicine Resident Ohio Health Doctors Hospital Emergency Residency Christopher Lloyd, DO, FACEP Director of Clinical Education, USACS Midwest Case A 30 year old patient presents to triage with chest pain. link] Here is the history: A 30 yo man presented complaining of severe chest pain.
Dr. Smith's ECG Blog
DECEMBER 19, 2018
A middle-aged woman had an acute onset of chest pain and dyspnea. The pain had almost resolved by the time an ECG was obtained in the ED: Here is the computer diagnosis What do you think? ng/ml , a three-fold increase from troponin #2, also confirming acute myocardial infarction. It was not normal!
Dr. Smith's ECG Blog
SEPTEMBER 10, 2023
Sent by anonymous, edited by Pendell Meyers A man in his 50s with history only of hypertension presented with acute chest pain that started 45 minutes prior to presentation while doing yard work. Triage ECG (no prior for comparison): Computer algorithm read: "Sinus rhythm, low voltage QRS, inferior myocardial infarction, probably old."
Expert insights. Personalized for you.
97 
Let's personalize your content