A 65 year old with chest pain, ECG recorded at 50 mm/sec
This case was sent by Peter Hammarlund, from Stockholm, Sweden: Hi Steve, What would you say about this ECG? A 65 yo smoking man with a prior…
Tachycardia and ST Elevation.
This Case was sent from Anonymous. A middle-aged patient was sent to the ED with tachycardia. He denied any sensation of palpitations, but his…
New Lecture on High Sensitivity Troponin Protocols in the ED
It is my task to educate our residents on chest pain, ECGs, and troponin. So for years I have been lecturing on the topic of chest pain…
A completely healthy 30-something woman with acute chest pain — this post is loaded with info !!!
A previously healthy young woman presented to the ED with one hour of acute onset right sided chest pain and pressure, very severe, radiating…
Comatose after opiate overdose, with tachycardia and hypotension
I was texted this ECG with the info that a female patient in her 20s was found down with probable opiate overdose: What do you think? Here was…
A 50-something woman with chest pain and 2 “normal” ECGs at triage
A 50-something woman with history of DM and HTN presented with one hour of chest tightness. I was screening all patients at triage and…
New Article published online: In inferior myocardial infarction, neither ST elevation in lead V1 nor ST depression in lead I are reliable findings for the diagnosis of right ventricular infarction
Bischof, JE. Worrall C. Smith SW. In inferior myocardial infarction, neither ST elevation in lead V1 nor ST depression…
An Ischemic ECG and Bedside Echo shows diffuse dysfunction but with Apical Sparing
An approximately 40 y.o. male was in jail when he reported dyspnea. He was brought to a small local ED where a chest x-ray showed…
“Unstable Angina still exists”, even in the Age of High Sensitivity Troponin
This case comes from a long term blog reader from Norway. Case: 49 y.o male. No previous medical hx. 15-20 pack year smoking history.…
A Simplified Formula Discriminating Subtle Anterior Wall Myocardial Infarction from Normal Variant ST-Segment Elevation
Dr. Emre Aslanger has published a simpler formula for differentiating electrocardiographically subtle LAD occlusion from normal variant ST…