A 60-year-old diabetic with chest pain, cath lab activated
I came to work one day and one of my partners said, “Hey, Steve, we had a STEMI this afternoon!” I said, “Cool, can I see…
A 40 year old with nonspecific symptoms including dizziness
A 40 year old with nonspecific symptoms including dizziness. What do you notice about the ECG? There is a very short QT interval. This…
Computer: “Normal ECG,” TIMI-3 flow at angiography: Does this ECG manifest Occlusion MI?
A 60-something awoke with 10/10 crushing chest pain. He walked in to triage. Here is the ECG: Computer interpretation: Normal…
A middle-aged man with acute chest pain.
A 50-something male had onset of chest pain 1 hour prior to ED arrival. It is constant, 9/10, left-sided CP that radiates into…
Lecture by Smith: Selected Cases of Occlusion MI (OMI), or not, on the ECG
This may be my best lecture yet. I gave it virtually to the Kaiser group. You can access it also on the “Lectures and…
Profound ST depression in II, III, aVF
This 29 year old African American patient was found down, unconscious, not breathing and was given 2 mg of intranasal naloxone by a…
A Patient with Vertigo
This patient presented with vertigo and had an ECG recorded What do you think? I saw this and was worried about inferior OMI due to some…
A young man with tachycardia. Should We Try Adenosine?
A young man presented with weakness and fever. His pulse was 186. An ECG was recorded: What do you think? There is a regular narrow complex…
A 40-something presented after attempted prehospital resuscitation with persistent Ventricular Fibrillation
A 40-something with persistent Ventricular Fibrillation presented after attempted prehospital resuscitation A 40-something with no previous…