A 31 year old with Diabetes and HTN complains of bilateral arm tingling and headache
This ECG was texted to me with the message “A 31 year old with Diabetes and HTN complains of bilateral arm tingling and headache.”…
3 days of shoulder and chest pain, and now cardiogenic shock
I was texted these ECGs. “Bad chest pressure with severe left shoulder pain 3 nights ago. Then SOB and nausea the next day. …
A woman in her 60s with 6 hours of chest pain, dyspnea, tachycardia, and hypoxemia
Case submitted and written by Anonymous, with edits by Meyers and Smith A female in her 60s presented with an ache in her chest that…
Dynamic ST Change in a mid-50s Man with Chest Pain
=================================== MY Comment by KEN GRAUER, MD (8/22/2020): =================================== The patient is a…
Chest pressure and T-wave inversions. Not what you might think.
A 40-something male had been in the ED for many hours for altered mental status due to alcohol, when he became more alert and complained of…
35-year old with Palpitations and a Very Complicated Rhythm
=================================== MY Comment by KEN GRAUER, MD (8/17/2020): =================================== The patient whose…
Chest discomfort, Sinus Tachycardia, Q-waves, ST Elevation, and Intermittent Wide Complex Tachycardia. Activate the Cath Lab?
This ECG was texted to me with no other information: Computer Diagnosis: SINUS TACHYCARDIA INCOMPLETE RIGHT BUNDLE BRANCH BLOCK [90+ ms QRS…
Management of MI can be similar to stroke: Use CT angiogram. Don’t depend only on STE on ECG for reperfusion?
This new article from the VERDICT trial may help to change the MI paradigm to OMI-NOMI. Coronary CT Angiography in Patients With…
A middle aged female with “heartburn” and a “normal ECG” per the computer
This is a re-posting of a Tweet by Robert Jones (@RJonesSonoEM), reproduced with permission, written by Pendell Meyers A middle aged female…
A man in his 40s with chest pain reproducible with palpation
Written by Pendell Meyers, submitted by George Konstantinou A man in his early 40s with history of smoking and hypertension presented to the…