Recurrent and refractory Chest pain after infarct in a developing country
A 70-something Patient started having chest pain about one hour prior to arrival. She had had a “heart attack” about two weeks ago…
50 year old with shortness of breath
Written by Matt McArthur, edited by Jesse McLaren ED Triage nurse comes to me and asks to look at the ECG of a 50 year old patient. They…
Quiz post: both patients with acute chest pain in the middle of the night, which or both or neither need emergent reperfusion?
Published study: When the ECG was very difficult, the Queen was 7.36 times more likely to be correct than the Standard of Care. Patient #1:…
Acute Cardiogenic Shock in a patient with ventricular paced rhythm.
A 70 something with history of coronary disease and pulmonary embolism presented with sudden onsent chest pain, diaphoresis, and abdominal…
A 50-year old with palpitations. How will you treat?
Written by Magnus Nossen Today’s patient is a 50-something male with a history of mechanical aortic valve due to aortic insufficiency. He is…
Intense burning chest pain in a 40-something woman
This was sent by a former resident: Aside: the worst thing you can be if you have an MI is a young woman. A couple other cases: = = =…
Chest pain and Right Bundle Branch Block
A 62 yo male with h/o CAD and stent in 1st OM presented with Chest pain while biking. Vitals were normal. An ECG was recorded: What do you…
“Sepsis” with an ECG and Echo surprise
A woman in her 80s presented for hypotension. She had been feeling generally unwell for 3 days. Caregivers report that she has some mildly…
Is this ECG easy for you yet?
See the ECG before context: = = = A woman in her 40s presented with shortness of breath and chest pain. She was tachycardic but other vital…
Dofetilde (and ibutilide -Class III antidysrhythmics). What is the risk? How does it show on the ECG? What to do about the complication?
By Willy Frick CASE PRESENTATION A middle aged woman with HFrEF (EF 25-30%) and persistent atrial fibrillation was admitted to the hospital…