65 year old with acute abdominal pain: does lack of chest pain exclude STEMI/OMI?
By Jesse McLaren A previously healthy 65 year old male presented with one hour of sudden, severe, non-radiating mid abdominal pain with nausea…
50-something with VF arrest – why is there diffuse ST depression with ST Elevation in lead III?
A 50-something male with no past history had onset of chest pain followed by arrest. After multiple shocks, he was resuscitated. He went into…
60-something male with 2 hours of chest pain
A 60-something male presented with 2 hours of chest pain. Here is his ECG: What do you think? This is diagnostic of proximal LAD Occlusion…
A 60s year-old man with neck and shoulder pain, no chest pain.
By Pendell Meyers A man in his 60s presented with acute pain of the shoulders, neck, throat, and jaw following rigorous physical activity…
Syncope in a healthy person
I saw this patient in triage. “47 y.o. male presents for syncope today. States he passed out while standing, first feeling dizzy and…
Dyspnea, syncope and ST-elevation in a young female
Written by Magnus Nossen A woman in her thirties contacted the ambulance service because of progressive shortness of breath. She reported…
An ECG Finding Every Doctor Should Recognize — It’s More Common than You Think!
Post by Dr. Mark Hellerman. = = = Two octogenarians with known extensive CAD presented to our ED the same afternoon with chest discomfort. In…
The Right Decision for the Wrong Reason?
An 85-year-old man with a history of MI with stents woke up feeling unwell. He reported that the original sensation was difficult to describe,…
65 year old with chest pain + new Left Bundle Branch Block: is this acute coronary occlusion?
by Jesse McLaren A 65 year old with a history of COPD, coronary artery disease, reflux and cocaine use presented with chest tightness and…
STEMI: An Impossible Standard. NSTEMI: a worthless diagnosis.
A man in his mid 50s was playing soccer and collapsed. Bystanders initiated CPR and delivered 3 AED-advised shocks. The patient was intubated…