30-something with chest pain
This was sent by a former resident. A 30-something male presented 4 hours after onset of chest pain. He had had some chest pain 2 days earlier…
Syncope and WCT after physical exertion
Written by Magnus Nossen Today’s patient is a 60-something male with a history of atrial fibrillation managed with a rhythm control strategy…
Acute chest pain and ST Elevation. Take a moment to look through the chart!
A 40-something man presented with with 10/10 chest pain after cocaine use. The chest pain had been present for 1 hour. On arrival in the ED, a…
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…