87-year-old with chest pain
Written by Magnus Nossen. This prehospital ECG was obtained form an elderly male with new onset chest pain. The pain was substernal 7/10,…
Can you guess the diagnosis?
I was sent this ECG by a former colleague without clinical context and asked for an interpretation. Interpreting ECGs without clinical context…
70-something with acute chest pain, Right Bundle Branch block, ST Elevation, and large T-waves
A 70-something with no cardiac history called 911 for acute chest pain. Here is the prehospital ECG: What do you think? There is right bundle…
Acute chest pain and ST Elevation. Activate the cath lab?
Written by Pendell Meyers A man in his 40s presented with acute chest pain. Here is his triage ECG: What do you think? The ECG above shows a…
Chest pain and a fast rhythm
My partner brought me this ECG during a shift, not sure how to interpret it. A 65 y.o. male with a past medical history significant for…
Even OMI that are STEMI are missed, and called “Not a STEMI”
A 40-something woman with no previous medical history presented in the wee hours with 4 hours of chest pain. The pain had been intermittent…
Is it Always Best to Activate when Convinced of Acute OMI in a STEMI World?
Written by Emerson Floyd MD (Edits by Grauer, Meyers, Smith) Smith: Isn’t it sad that we need to be psychologists in order to try to…
Chest pain and nausea with a diagnostic ECG
Written by Pendell Meyers, sent by anonymous A man in his 40s called EMS for acute symptoms including chest pain, abdominal pain, nausea, and…
Why did it take 70 years for this to cause trouble? And what are the markers of risk in this ECG?
This patient was admitted after experiencing syncope while seated. What is the primary abnormality on this ECG, and what additional, more…
Back to basics: ECGs are dynamic, get serial ECGs and learn the OMI progression
Written by Pendell Meyers A male in his 40s experienced off and on chest pain at rest several times in the past 48 hours. The pain returned…