OMI Update [Dr. Smith Analysis]
Dr. Smith responded to last week’s lawsuit about an OMI case.
His analysis is here: https://hqmeded-ecg.blogspot.com/2024/06/the-expert-witness-re-visits-chest-pain.html
He describes the EKG as demonstrating the “precordial swirl” pattern:
ST elevation and large T-wave in V1
reciprocal depression in V5 and V6
Dr. Smith notes that this pattern be present with LAD occlusion proximal to the first septal perforator or with inferior/right ventricular OMI (as was present in this case).
He linked to this case discussing precordial swirl in more detail.
I really enjoy reading the ECG Blog and trying to better my ECG interpretation skills, but frankly don’t have the time to read every case to become an OMI expert.
That’s why I like the Queen of Hearts AI system so much.
It lets me immediately access the expertise of the world’s top ECG experts.
If you want to give it a try, register here: https://pmcardio.powerfulmedical.com/
You will have to register with your email address, then download the Telegram app, and use a link they’ll email you.
For American users, it’ll look like this in the Telegram app:
The user interface is a bit clunky but easy to learn.
Warning: You only get a small number of ECG interpretations during the demo access, and they don’t tell you how many you have left.
I think its about 10-15 before they cut you off, although each time I have been cut off, they suddenly “extend” my access and I can keep using the app.
Give it a try and let me know what you think!
https://pmcardio.powerfulmedical.com/
For readers who are sick of reading about OMI, here is the case I sent to (paying) subscribers yesterday.
Its the story of a woman who went to a chiropractor with low back pain.
Apparently she was drunk at the appointment.
The chiropractor adjusted her low back, at which point she had sudden severe pain in her back and radiating down her leg.
After being seen in the ER and referred to a neurosurgeon, she was diagnosed with a large L5-S1 disc herniation that required surgery.
She sued the chiropractor for causing the disc herniation, but then refused to show up for any depositions and the judge finally dismissed the lawsuit.
You can read the case here:
I’ve been accused of being too harsh against chiropractors, what do you think?
I’ve published one other case about a chiropractor, who adjusted a young man’s neck and left him permanently disabled with locked-in syndrome.