New STEMI equivalents keep showing up all the time.  What is a STEMI equivalent you ask? For those ECG nerds out there (you know who you are, yes the one’s with the calipers in my ED) it is the rapidly expanding number of ECG patterns, beyond the traditional ST elevations, that suggest an acute coronary occlusion and therefore require emergent revascularization..  Here is one I was unaware of until just recently. Add it to your list.

The EMBER:

Dr Smith’s ECG Blog  Back Pain Radiating to the Chest in a man in his 40’s

Appropriate Cardiac Cath Lab activation: Optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction