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Here are some basic ectopy slides that I've created to illustrate different terms Aimed at beginner/intermediate level Any feedback welcome

Had a great time at #ICEM2025, from teaching a sold out pre-conference course, to meeting lots of people at #ECG jeopardy, to learning from great talks. Thanks CAEP /International Conference on Emergency Medicine for organizing. Next courses below. Jesse McLaren Anton Helman

Circumflex Artery, Missed Occlusions, and Paradigm Shift. José de Alencar Emre Aslanger Pendell Meyers Stephen W. Smith #JACCAdvances reply to letter to the editor in JACC Journals sciencedirect.com/science/articl… #OcclusionMI

Important ACC ACS Guidelines 2025 Commentary: "The primary challenge to this otherwise intuitive approach is the lack of a rapid and reliable method for identifying OMI before angiography." "AI-driven algorithms can enhance the reliability of ECG-based OMI detection"

Occlusion myocardial infarction: a revolution in acute coronary syndrome Read our editorial at the link below! tinyurl.com/f33y6z3d Jesse McLaren Pendell Meyers Stephen W. Smith

🫀 More than half of #OcclusionMI were not admitted as #STEMI, with further reperfusion delays for elderly and atypical symptoms. Read more ⬇️ cjcopen.ca/article/S2589-… Stephen W. Smith #CJCO #OpenAccess

Have you been investigating the myriad of AI tools being created to assist in clinical decision making? 🚀 Our latest podcast dives deep into how AI models like the 'Queen of Hearts' ECG tool are set to revolutionize acute OMI diagnosis. Learn why they can be a powerful ally for

article is free #FOAMed

Come read Evan Lin’s enlightening first post!!

Anteroseptal OMI? Accurate ECG interpretation is essential to correctly interpreting the angiogram. hqmeded-ecg.blogspot.com/2025/06/antero… Willy Frick

#ECG Cases 56: the art of #OcclusionMI, part 4: sequence photos emergencymedicinecases.com/ecg-cases-art-… Anton Helman heartsECGcourse #FOAMed #EKG #cardiotwitter

Lovely demonstration of OMI progression. x.com/ECGcases/statu…

Introducing Dr. Smith’s ECG Blog 2.0! The world’s #1 ECG Blog now features: - smarter search (try “HATW in aVL”) - email newsletter for new posts Join over 200,000 monthly readers on our brand-new custom domain!

Dr G Rajesh (Gopalan Nair Rajesh). Thanks for sharing! This is the precordial swirl pattern that we described here: sciencedirect.com/science/articl…. Can be difficult to learn/distinguish, but we did our best to describe in that pub. Anyone regardless of training has the ability to diagnose this immediately with PM Cardio

65 year old with chest pain during dialysis drsmithsecgblog.com/65-year-old-kg… Jesse McLaren

HEARTS Advanced course: #ECG interpretation for Occlusion MI, with Jesse McLaren ✅ systematic #EKG interpretation ✅ evidence-based pearls for false +/- #STEMI ✅ interactive, small group ✅ practice with real cases To register: heartsECGcourse.com Anton Helman #MedEd

Both patients present with stabbing chest pain. But only one will suffer a VF arrest from a fully occluded culprit coronary artery. Can you spot which one based on their #ECG?

75 year old with acute chest pain: 6 bad reasons not to cath. And why do so many cardiologists want to wait for troponins? (i.e., wait until the myocardium is dead?) drsmithsecgblog.com/75-year-old-wi…

Great reminder that Troponin is not a rule-in test and often falsely negative. This is what happens when a patient mistakenly falls into the wrong clinical pathway!

Is it Always Best to Activate when Convinced of Acute OMI in a STEMI World? drsmithsecgblog.com/is-it-always-b… Pendell Meyers PMcardio—AI that reads ECGs Emerson Floyd