Chest pain and shock: Is there a right ventricular OMI on this ECG? And should he undergo trancutaneous pacing?
A 50-something man presented in shock with severe chest pain. His prehospital ECG was diagnostic of inferior posterior OMI. The patient was in…
20-something with huge verapamil overdose and cardiogenic shock
A 20-something presented after a huge verapamil overdose in cardiogenic shock. He had been seen at an outside institution and been…
An elderly patient with syncope, dyspnea, and weakness, but no Chest Pain, and mild hyperkalemia
An elderly patient had a fall from probable syncope, and could not get up. He complained of weakness and shortness of breath, but no…
45 yo with jaw pain radiating to left shoulder for 6 hours
This case was provided by Steven Souchtchenko, a recent graduate of our Hennepin Healthcare EM/IM residency (i.e., a former trainee of mine).…
What is this strange looking ECG in a young woman?
I was reading EKGs on the system and saw this one, with no other information. What was my interpretation of these apparently abnormal…
A 30-something woman with intermittent CP, a HEART score of 2 and a Negative CT Coronary Angiogram on the same day
This was sent by a colleague. A 34 yo woman with a history of HTN, h/o SVT s/p ablation 2006, and 5 months post-partum presented with…
A 50-something with acute chest pain, a computer “Normal” ECG, and a HEART score of 3 (low risk)
A 50-something with no previous cardiac history and no risk factors presented to the ED with acute chest pain (pressure) that radiated to the…
A 20-something with intermittent then acute chest pain
This was sent to me by a partner: “Curious what you think of this one we had overnight. Healthy male under 25 years old with a…