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Dear colleague, In collaboration with the Mayo Clinic, Washington University in St. Louis, and The EKG Guy, we have…
Unstable Angina still exists. It can be missed especially high sensitivity troponin is not used. Sometimes you can catch it on the ECG.
A 50-something woman with H/o HTN, ESRD, CAD S/p complex PCI to ostial LAD and ramus (10/2020) and CABG x3 (LIMA to LAD, SVG to…
Very fast narrow complex tachycardia
A 50-something with h/o palpitations, chest pain, and EF of 40% (of unknown etiology) presented with chest pain. Blood pressure, perfusion,…
Does this ST Depression Maximal in V3 Represent Posterior OMI?
I saw this EKG when reading through the system: What do you think? This is what I wrote: ATRIAL FIBRILLATION WITH RAPID VENTRICULAR…
Inferior ST Elevation and Hyperacute T-waves, but Patient is Pain Free. What is going on?
A 60-something female presented with episodes of chest pain for the previous 2 days that lasted 20 to 30 minutes each. On the day of…
What happens if you don’t recognize Hyperacute T-waves?
First, let me direct you here: See here for many examples of hyperacute T-waves: 10 Cases of Inferior Hyperacute T-waves Ten cases of…
A Middle Aged Male diagnosed with Gastroesophageal Reflux
This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. He had been at a clinic that day where he…
The ECG must be recorded at the right time, or the Occlusion (OMI) will be missed.
This was sent by one of our faculty, Steven Souchtchenko, who trained under me and works at another hospital most of the time, and with us at…
All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing.
A 50-something woman who has a gastric ulcer was experiencing epigastric pain for which she decided to come to the ED. Then,…