When Normal is only Pseudo-Normal, it can deceive the caregivers.
An Aussie friend down under sent me this case. A 70-something male presented with sharp stabbing central CP. Here is the initial…
Acute chest pain and a difficult ECG
Written by Pendell Meyers A man in his late 40s with several CAD risk factors presented with acute chest pain. He had several episodes lasting…
Acute Chest pain with LBBB. What is going on?
This history and ECG were texted to me from a far away ED on a Friday night: “Very elderly make with history of coronary disease on an…
LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab?
Written by Jesse McLaren (@ECGCases), with comments by Smith and Grauer A 50 year old presented with chest pain radiating to the…
A man in his 30s with chest pain and a normal bedside echo, without wall motion abnormality
Submitted and written by Dominic Nicacio MD, peer reviewed by Meyers, McLaren, Grauer, Smith A man in his early thirties with history of…
Is this Myo-pericarditis? Or OMI with subsequent pericarditis? Does the angiogram always explain the ECG findings?
A 57 y.o. male with a history of diabetes presented with sharp, substernal chest pain with radiation to the bilateral shoulders that…
ST elevation after gunshot to the chest
Submitted and written by Bobby Nicholson MD, peer reviewed by Meyers, Grauer, McLaren, and Smith A young man suffered multiple gunshot wounds.…
Chest pain, trop >50,000 but only 30% LAD stenosis on angiogram: what’s the diagnosis?
Written by Jesse McLaren, with comments by Grauer A 60 year old had two hours of exertional chest pain, nausea and diaphoresis, and called…
One Hour Lecture: Does this ECG show Occlusion MI (OMI)?
Click here: One Hour Lecture: Does this ECG show Occlusion MI (OMI)?
Why do we NOT name Occlusion MI (OMI) after an EKG finding? (In contrast to STEMI, which is named after ST Elevation)
A 40-something male with no previous cardiac disease presented with chest pain. Here is his ECG: There is no clear evidence of OMI or…