Typical chest pain and hypotension, Activate the Cath lab?
I was texted this ECG with the info that the patient “clinically looked like he was having a myocardial infarction”: What do you…
Acute chest pain, ST Depression in V2 and V3, relief with Nitroglycerine, “normal” coronaries, and apical ballooning. Is it takotsubo?
This was submitted by Michael Fischer, one of our outstanding 2nd year EM residents at Hennepin Healthcare. Case A previously healthy female…
ECG with Aslanger’s Pattern. CT Pulmonary Angiogram Reveals LAD Ischemia (Septal Transmural). But this is not Contradictory.
A 52 y.o. male presented with persistent central chest pressure, without radiation, SOB or diaphoresis, which began at rest approximately one…
ST Depression Maximal in V1-V4 and Angio shows 3 Vessel Disease. Is it posterior? Which is the culprit?
A 70-something woman had acute chest pain. The ECG was texted to me with the words: “Acute chest pain. Could this be posterior MI? What…
Bradycardia, Crushing Chest pain, and Pulseless VT Arrest
A 50-something woman with h/o hypertension and hyperaldostonism presented with severe crushing chest pain and bradycardia. EMS found the…
Extreme widespread ST depression, with ST Elevation in aVR. What do you think?
I was texted this ECG without any other information. The question was posed: “Activate the cath lab?” What do you…
A 45 year old smoker presents with palpitations, is discharged, and is found dead 2 days later
A 45 year old smoker presented with palpitations. He had no other medical problems. There was no syncope. He was on no…
“Pay me now, or pay me later”
This patient presented with acute pulmonary edema without chest pain. A bit of history prior to showing the ECG: The patient had been…
Abbott High Sensitivity Troponin Algorithm at Hennepin Healthcare
To see the full lecture with the data, click here Algorithm Click on images to enlarge them!! Rule Out MI Rule In MI Important slide on Risk…
The Diagnosis of OMI does not depend on the ECG. But if you recognize it, that’s great.
An elderly woman presented with 4 days of waxing and waning epigastric/substernal chest pain, worse on the day she presented. She…