• Am J Emerg Med · May 2024

    Case Reports

    Obstructive myocardial infarction with normal automated ECG interpretation: A case report.

    • Daniel Herzog and Christopher N Scavelli.
    • Department of Emergency Medicine, NYU Langone Hospital - Long Island, 259 1st Street, Mineola, NY 11501, United States of America. Electronic address: daniel.herzog@nyulangone.org.
    • Am J Emerg Med. 2024 May 1; 79: 232.e1232.e3232.e1-232.e3.

    AbstractEmergency Medicine physicians experience a significant number of interruptions throughout their work day. One common cause of interruptions is the immediate interpretation of triage electrocardiograms (ECGs). Recent studies have suggested that ECGs interpreted as normal via automated analysis by the ECG machine rarely require urgent cardiac intervention and suggested that providers may not have to be interrupted to interpret these "normal" ECGs. We describe the case of a patient who presented to the Emergency Department (ED) with chest pain and an ECG interpreted as normal by an automated reading from the ECG machine, despite having acute coronary syndrome requiring emergent intervention.Copyright © 2024 Elsevier Inc. All rights reserved.

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