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Is there OMI on this ECG?

Dr. Smith's ECG Blog

The patient with no prior cardiac history presented in the middle of the night with acute chest pain, and had this ECG recorded during active pain: I did not see any ischemia on this electrocardiogram. The patient has active chest pain, so if these are abnormally large T-waves This link shows 13 blog posts of Posterior Reperfusion T-waves.

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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

See > 50 cases on Dr. Smiths EGC Blog. 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. Safety of computer interpretation of normal triage electrocardiograms. Take home 1.

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

Dr. Smith's ECG Blog

Dr. Smith’s ECG Blog has published a growing list of over 40 cases of ECGs falsely labeled ‘normal’ by the computer which are diagnostic of Occlusion MI, and Smith et al. Smith’s ECG Blog has published a growing list of over 40 cases of ECGs falsely labeled ‘normal’ by the computer which are diagnostic of Occlusion MI, and Smith et al.

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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

We have shown many examples of this on this blog. Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review. As we often emphasize on Dr. Smith's ECG Blog — there is normally slight, upward sloping ST elevation in leads V2 and V3.

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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 is obviously unreliable data, as Dr. Smith’s Blog has published 51 cases of OMI with ECGs labeled ‘normal’ , 35 of which were identified by the Queen of Hearts – with 10 examples here. Emergency department Code STEMI patients with initial electrocardiogram labeled ‘normal’ by computer interpretation: a 7-year retrospective review.

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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

This is because until recently — computerized programs have been based on STEMI -criteria — which as we have shown, will miss an estimated 25-30% of acute coronary occlusions ( See My Comment in the July 31, 2020 post in Dr. Smith's ECG Blog ). Am J Emerg Med. 2022 Jan;51:384-387. doi: 10.1016/j.ajem.2021.11.023. 2021.11.023.

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6 Cardiology Board Review Questions That Will Help You Pass the Boards

BoardVitals - Cardiovascular

The post 6 Cardiology Board Review Questions That Will Help You Pass the Boards appeared first on BoardVitals Blog. Question banks are a favorite exam preparation resource for Cardiologists that want to practice in the format of the exam. If you’d like more sample questions then follow this link to begin a free trial today.