Chest pain and ST Elevation.
A 42 year old presented with chest pain. Here is his triage ECG: What do you think? ‘This is a classic pattern of ST…
Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia)
This is a case from many years ago that I discovered recently. The patient has heart failure as a result of this event. A 50-something…
Neck and Jaw Pain in a patient with a Pacemaker. Sgarbossa Negative. But How about the Modified Sgarbossa Criteria?
I was at home on a late Saturday evening when this first ED ECG was texted to me: Atrial and Right Ventricular Paced Rhythm (most pacing is RV…
Acute Chest pain. All P-waves are not conducting. Is it OMI?
A 50-something male complained of acute onset chest discomfort about 30 minutes PTA while at rest with radiation described as numbness to the…
Why is there ST Elevation in lead V2? Think Lead Placement.
I was shown this ECG of a 40-something intoxicated male with altered mental status. The provider was very worried about LAD…
Atrial Fibrillation w Rapid Ventricular Response and ST Depression Maximal V1-V4: Not always subendocardial.
A patient presented a few years ago with chest pain, but also cough, low grade fever, and malaise. She had one prehospital saturation at…
Typical Chest Pain: Would you activate the cath lab? Would you advocate if the interventionalist was not interested?
A 50-something woman complained of acute chest pain radiating to the left arm, onset while driving. It would briefly improve with NTG.…
Let’s Use Aslanger’s simplified formula on this case (simplified Smith LAD occlusion/early repol formula)
This was posted in August 2019: Acute Chest pain in a 50-something, and a “Normal” ECG Chris Mondie of…
See this: Occlusion/Reperfusion/Re-occlusion/Reperfusion/Re-occlusion/Reperfusion
A 60-something y.o. male presented with intermittent left-sided chest and shoulder pain that is achy in nature and lasted a few minutes or…
Fever, tachycardia, hypotension, hypoxia and “SVT”
This 40-something presented with hypoxia, BP 60/30, pulse 195, and Temp of 40 C. He had what appeared to be SVT on the monitor. Here is his…