A 15 year old with acute chest pain
The cardiologists are not investigating the possibility of acute coronary occlusion simply because it is rare in a 15 yo. But rare does not…
It’s best to recognize OMI before deciding not to intervene
This is an elderly woman with a history of HFrEF (EF 20%), CKD, hypertension, dyslipidemia, decompensated Cirrhosis, Hepatic Encephalopathy,…
A man in his 60s with acute chest pain. Is this precordial swirl?
A man in his 60s experienced acute chest pain and called EMS. EMS arrived and recorded this ECG during 10/10 chest pain: What do you think?…
A 40-something male with cough, dyspnea, and chest tightness.
A 40-something man with h/o asthma presented with cough, sore throat, earache, shortness of breath and chest tightness. His wife had similar…
A 30-something agitated male with a regular narrow complex tachycardia that will not terminate with adenosine
30-something male presented by EMS for evaluation of agitation and tachycardia. Per EMS, patient was running through the street, yelling, and…
Chest pain with acute RBBB: just another NSTEMI?
Written by Jesse McLaren, with comments from Smith A 75 year old with a previous MI and ischemic cardiomyopathy presented with 6/10 chest and…
A 35-year old woman with this post-ROSC ECG. What does “shark fin” morphology mean?
Written by Magnus Nossen. The patient in today’s case is a 35-year-old overweight female. She experienced sudden onset chest pain and…
Chest pain, this ECG, and an undetectable troponin after 6 hours of pain
These ECGs were texted to me by one of our former ultrasound fellows, Will Smoot A Middle-aged male presented with acute chest pain. This…
Accuracy of cath lab activation decisions for STEMI-equivalent and mimic ECGs: Physicians vs. AI (PMcardio, queen of hearts), and comment by John Mandrola on “This Week in Cardiology Podcast”
Here is the link to the study by Shroyer, Mehta, Thukral, Smiley, Mercaldo, Meyers, and Smith Here is a link to all the ECGs. This Week in…
Chest pain 6 days after a negative stress test
This case comes from Cody Pinnow, a 2nd year EM resident who learned EKGs from this blog while working as a cardiac monitor technician, before…