Computer misses again — two cases: one very obvious, one very subtle
Case 1. A 63 year old male had chest pain and syncope after playing hockey (this is Minnesota). A prehospital ECG showed inferior ST elevation…
ST depression V2-V4: Posterior leads, resolution of pain, and absence of posterior wall motion abnormality ruled out posterior STEMI
I saw this 59 year old male 3 weeks ago. He had no previous history of CAD, and presented with very typical waxing and waning chest pain, much…
Cardiogenic Shock and Pulmonary Edema due to Subacute Anterior STEMI
This is a 72 yo male whose symptoms began with a cough 12 hours prior to presentation, at which time he had CP, SOB, and resp distress. On…
Wide Complex Tachycardia; It’s really sinus, RBBB + LAFB, and massive ST elevation
Here are more examples of wide complex tachycardia: these are all a mix of ventricular tachycardia and SVT with aberrancy. This 51 yo…
Pure Posterior STEMI, not a rare event
This 65 yo male presented with 24 hours of intermittent and low grade chest pressure. Here is the presenting ECG: There is ST depression with…
Subacute STEMI Masked by a Wide Complex
See this post for a wide complex that reveals the MI. Case: This 46 yo male with no h/o MI or coronary disease presented with 2 days of…
Tachycardia must make you doubt an ACS or STEMI diagnosis; put it all in clinical context
This 54 year old patient with a history of kidney transplant and poor transplant function — had been vomiting all day, when at 10 PM he…
Pseudoinfarction patterns: there are many and this is one: what is it?
This is courtesy of Mohammed S. Alo, who kindly let me reproduce a case from his blog (Mohammed Alo’s blog). This is a 40 year old male…