pericarditis2 Min Read Steve SmithonJune 25, 2012 Chest pain and ST-segment Elevation This was provided by Casey Parker at Broome Docs Blog, with permission. A 23 year old presented with pleuritic left chest pain radiating to…
atrial flutter1 Min Read Steve SmithonJune 22, 2012 What is the Diagnosis? This 65 year old woman presented in cardiogenic shock: Some will find this easy (if so, sorry!), but some might be confused. See below.…
LVHLVH mimics WellensPseudoWellensT-Wave inversionWellens' syndrome1 Min Read Steve SmithonJune 18, 2012 Pseudo-Wellens’ Syndrome due to Left Ventricular Hypertrophy (LVH) A 52 year old male presented with epigastric pain, continuing in the emergency department. He has a history of hypertension, and is on…
Dynamic T-wavesinferior STEMIpseudonormalizationSTEMI with less than 1 mm ST elevation3 Min Read Steve SmithonJune 14, 2012 Dynamic inferior MI: STEMI or Non-STEMI? Does it matter? A 63 year old with no cardiac history developed substernal chest burning while exercising, relieved with rest. It later woke him…
AV dissociationcardiac arrestLAD occlusion vs. benign early repolarizationST depression3 Min Read Steve SmithonJune 8, 2012 ST depression after cardiac arrest is frequently not due to ACS Case 1 A 22 yo male had a cardiac arrest with ventricular fibrillation recorded. He was resuscitated. He was comatose. Here…
inferior STEMILVHSTEMI with less than 1 mm ST elevation2 Min Read Steve SmithonJune 1, 2012 ST changes due to limb lead LVH? This was a middle aged female with a h/o CAD who presented to the ED by EMS sudden onset of central chest pressure 45 min prior to…