A middle-aged woman with chest pain and a “normal” ECG in triage
This was sent to me by a former resident from a community hospital: A middle-aged woman complained of chest pain and was seen in triage. She…
Anterior ST Elevation with Elevated Troponin, but with low T/ST ratio, 2 Cases
Case 1 This case was sent by Michael Masias (EMCurious, Twitter handle: @EMedCurious), an ultrasound fellow in the Department of Emergency…
How can you persuade your cardiologist to take a Non-STEMI patient to the cath lab emergently?
This case was sent by Joseph Ryan (@DocJoseph08), chief resident from Corpus Christi’s EM residency program. This…
12 Example Cases of Use of 3- and 4-variable formulas, plus Simplified Formula, to differentiate normal STE from subtle LAD occlusion
Here are 12 Example Cases using the 3- and 4-variable formulas, which help to distinguish normal ST elevation in leads V2-V4 from that of…
A Middle-Aged Man with crescendo angina
A middle-aged male with several comorbidities including DM presented with chest pain. It had been on and off all day, then constant for…
A Very Elderly Male with a Fall and no Chest Pain
A very elderly man fell and injured his face. There is always the possibility of syncope as the etiology of a fall, especially in an…
Bizarre T-wave Inversions in a Patient without Chest Pain
This was sent by a recent ultrasound fellow, asking for my ECG diagnosis. He stated that it is “an acute change from previous” in…
30-something with chest pain, a fragmented QRS, and ST Elevation.
A young man presented with acute chest pain. He had no cardiac history. He had no medical history at all. His vital signs…
Cardiogenic shock with wide complex tachycardia and poor LV function in a young woman
A 30-something woman presented with CP and SOB. She was hypoxic and intubated. She had very poor LV systolic function on bedside…
Starting a list of some of the best blog cases here….
1. I just remembered this one: Chest Pain and Cardiogenic Shock with Profound ST Depression & STE in aVR. Activate the Cath Lab? 2.