What will happen if you implement the Queen of Hearts in your Hospital?

This case was sent by Dr. Jean-christophe Reiters, an interventionalist in Belgium.  He has been following the blog for 4 years.He has now implemented the Queen of Hearts in his hospital.  He wanted to share one of the first cases.A 55 year old with no previous cardiac history presented with 3 hours of chest pain.  The pain was persistent and reportedly still present at the time of the ECG.Here is the EKG:Smith: It looks like a reperfused inferior lateral OMI.  (Inverted T-waves in inferior and lateral leads, with reciprocally upright (pseudo-hyperacute) T-waves in I and aVL.  But if the pain is persistent, as reported, then the patient must go to the cath lab even if the ECG suggests reperfusion.The emergency physician asked the advice of Dr. Reiters because of absence of STEMI criteria.Dr. Reiters wrote: " I was worried about hyperacute T-waves in leads I, aVL and V2, and perhaps a reperfused infero-lateral OMI because of the Wellens ' -like waves in inferolateral leads.  I was not confident that it was OMI, but because of the persistent pain I used the PM Cardio app with Queen of Hearts interpretation:This is from the PM Cardio app (in contrast to the Queen of Hearts on Telegram). The app is fully approved for clinical use in Europe, and has both the Queen of Hearts and 38 other diagnoses, such as LVH, rhythm diagnoses, etc.Translation from French: Acute Occlusion Myocardial Infarction with High Confidence.(The app also states that t...
Source: Dr. Smith's ECG Blog - Category: Cardiology Authors: Source Type: blogs