A man in his 70s with acute chest pain. How did management affect the outcome?
Sent by anonymous, written by Pendell Meyers A man in his 70s presented with acute chest pain, shortness of breath, nausea, vomiting, and…
New Lecture. October 23, 2025. Replace STEMI/NSTEMI with OMI/NOMI, and AI in the Diagnosis of OMI
This is from Cardiology Grand Rounds at Medical College of Wisconsin, via Zoom, on October 23, 2025. The woman you see there is Dr. Jacquelyn…
Chest pain with “Non-diagnostic ECG”. What is the finding? What do you think happened?
Written by Magnus Nossen A 69-year-old woman with a 50-year history of smoking contacted EMS due to sudden onset chest pain. The chest pain…
Does this patient with wide complex tachycardia need an angiogram?
This case is divided into two separate hospitalizations about 9 months apart. Part 1 A man in his late 60s with hypertension, hyperlipidemia,…
A 45-year old man with “Heartburn.” There is much more to the ECG than initially meets the eye.
A 45-year-old man presented to the ED complaining only of “heartburn”. There was no chest pain, no shortness of breath, nausea or…
A 24 year old with chest pain — What happened?
This was written up by one of our superb EM/IM residents, Emily Syverud. A 24-year-old man presented to the ED early in the morning with…
What do you think happened to this woman with chest pain?
By Pendell Meyers A woman in her 60s with multiple comorbidities presented to the ED with acute chest pain. Vitals were within normal limits.…
34 weeks pregnant. Heart rate of 180
A multiparous 41 y.o. female with history of an episode Atrial Fibrillation with Rapid Ventricular Response (AF RVR) in the setting of…
Extremely fast, narrow, regular
This was emailed to me by a reader with this info: 39-year-old male with no past medical history presents with 3 days of palpitations and 2…
Worrisome chest pain and inferior ST Elevation
This is a 30-something year old male with 1 week of constant left substernal chest pressure. Patient states the pain is non-radiating, it is…