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Three patients with chest pain and “normal” ECGs: which had OMI? Which were normal? And how did the Queen of Hearts perform?

Dr. Smith's ECG Blog

This was just published in print in this month's Academic Emergency Medicine: McLaren, Meyers, Smith and Chartier. Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review.

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New ECG Study Reveals Myocarditis Risk in Athletes after Covid-19.

Wellnest

Latest ECG Study on Myocarditis by Covid by UK Team Cardiovascular Clinical Academic Group, St. Players previously received an electrocardiogram (ECG) performed an average of 239 days before infection. They selected 511 SARS-CoV-2-infected soccer players from 36 clubs in the United Kingdom, Brazil, and the Netherlands.

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Should Emergency Physicians be interrupted by ECGs that are read as "Normal" by the computer?

Dr. Smith's ECG Blog

Laurence Katz and Jonathan Jones Safety of Computer Interpretation of Normal Triage Electrocardiograms (pages 120–124). Academic Emergency Medicine 24(1):120-124. The Comparison of Physician to Computer Interpreted Electrocardiograms on ST-elevation Myocardial Infarction Door-to-balloon Times. This one was not even so subtle!!!

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

Dr. Smith's ECG Blog

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. A 12-lead electrocardiogram, lead V4R , and leads V7-9 were recorded on admission. What to do?

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A 50-something with chest pain. what to do? And get the PM Cardio app for your own use here!

Dr. Smith's ECG Blog

I first became interested in computerized ECG interpretation in the beginning of my academic days in the early 1980s ( References to some of my work appear below — as I believe I may have been the first family physician to publish in this area ). RED arrows in leads V3,V4 highlight T- QRS-D in ECG #2. ( Louis, 1998, pp 374-379.

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Atrial fibrillation? Multifocal Atrial Tachycardia? Don't look at computer read until AFTER you interpret!

Dr. Smith's ECG Blog

A deep neural network for 12-lead electrocardiogram interpretation outperforms a conventional algorithm, and its physician over-read, in the diagnosis of atrial fibrillation. IJC Heart and Vasculature 25(2019). Poon et al. sensitivity and 98.9% Q UESTION : Is there a d ifference between sinus rhythm with multiple PACs vs MAT?

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Emergency Department Syncope Workup: After H and P, ECG is the Only Test Required for Every Patient.

Dr. Smith's ECG Blog

Abnormal Electrocardiogram (ECG): Defined (San Fran syncope rule) as any new changes when compared to the last ECG or presence of non-sinus rhythm. Academic Emergency Medicine., Results : Electrocardiograms (99%), telemetry (95%), cardiac enzymes (95%), and head computed tomography (CT) (63%) were the most frequently obtained tests.