A man in his 50s with chest pain and dyspnea
A man in his 50s had chest pain and shortness of breath. EMS arrived and recorded this ECG. What do you think? There is sinus rhythm with…
What is this pattern?
This was texted to me with the following text: “Steve any thoughts? I’m interested in your initial reaction and then can give…
Atrial fibrillation with RVR and ST depression: POCUS, cardioversion, Lewis leads, and is this Posterior OMI?
An elderly man with a history of diabetes and HTN presented with lethargy and weakness, decreased urine output, and hypotension. There…
Should this patient get thrombolytics? When should PCI be performed after thrombolytics?
This was sent by an old friend, who was working with a physician assistant student, Lily McLean. She had just that minute downloaded the Queen…
In chest pain, if the ECG is not diagnostic, can the medics safely leave the patient at home?
67 year old female complaining of epigastric pain that radiates to herchest. Relief with burping. Symptoms had been ongoing for about 1…
A woman in her 50s with chest pain. No diagnostic STE (that worthless diagnosis: “NSTEMI”). What is it and what happened?
Sent by anonymous, written by Pendell Meyers A woman in her 50s presented with acute chest pain and shortness of breath. She appeared well…
Chest pain, serial ECGs STEMI negative, first troponin normal: cancel cath lab activation? Exemplary care by an emergency physician!
Submitted by Matthew McArthur, recent emergency physician graduate and regular reader of Dr. Smith’s ECG Blog, ECG Cases, and ECGweekly…
Atypical symptoms. Should we give thrombolytics?
This was sent by an old friend who works at a hospital without PCI capabilities, and far from one that does. So if there is OMI, he gives…
Dyspnea and chest pain. O2 saturation 88%.
This ECG was texted to me: dyspnea and chest pain. O2 saturation 88%. What was my response? My response: “She has some sort of chronic…
Chest pain in a rural hospital: is this pericarditis or does the patient need thrombolytics?
Written by Mazen El-Baba, with edits from Jesse McLaren A 60-year-old woman presented to a rural emergency department with sudden-onset,…