CAD ED Information 
Dr. Smith's ECG Blog
MARCH 19, 2024
The patient presented to an outside hospital An 80yo female per triage “patient presents with chest pain, also hurts to breathe” PMH: CAD, s/p stent placement, CHF, atrial fibrillation, pacemaker (placed 1 month earlier), LBBB. This case was sent by Amandeep (Deep) Singh at Highland Hospital, part of Alameda Health System.
ESO
SEPTEMBER 5, 2024
The National Emergency Response Information System (NERIS) is on track! F ire A dministration hosted their fourth informational webinar , NERIS Next Steps: Beta Launch, API Development, and Secondary Schema Release , to update departments on the current progress with NERIS and the anticipated timeline over the next three years.
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Dr. Smith's ECG Blog
JUNE 19, 2024
Case An 82 year old man with a history of hypertension presented to the ED with chest pain at 1211. The ED provider ordered a coronary CT scan to assess the patient for CAD. His pain suddenly became much worse in the ED and he became acutely diaphoretic, dizzy, and hypotensive. Another blood pressure was checked.
Dr. Smith's ECG Blog
MAY 10, 2023
At this point, with the information above, the patient's overall clinical picture could be consistent with either reperfused OMI, or Non-OMI, since both may have absent pain and inverted T waves. CAD-RADS category 1. --No Now, with elevated troponins, Wellens' syndrome is likely. A CT Coronary angiogram was ordered.
Dr. Smith's ECG Blog
JUNE 18, 2013
I want all to know that, with the right mind preparation, and the use of the early repol/LAD occlusion formula, extremely subtle coronary occlusion can be detected prospectively, with no other information than the ECG. This was my thought: if this patient presented to the ED with chest pain, then this is an LAD occlusion. Asymmetric.
Dr. Smith's ECG Blog
DECEMBER 13, 2019
I texted this to Dr. Smith without any information, and this was his reply: "This could be pericarditis but probably is normal variant." They found non-obstructive CAD, with only a 20% stenosis of OM2 and 10% RCA. I do not believe there is any finding here suggestive of OMI. No acute culprit. He was admitted to cardiology.
Dr. Smith's ECG Blog
JULY 11, 2019
Meyers : This ECG was texted to me with no clinical information, and my response was: "That looks like a very subtle LAD OMI. Cardiology was called and the patient was taken for urgent catheterization with the time from ED arrival to cath about 1 hour and 45 minutes. He also had non-acute CAD of the RCA (50%) and LCX (50%).
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