“I have food poisoning”
This patient in her 40’s with type 1 DM presented with 16 hours of vomiting (x 10) and diarrhea (liquid/loose x 10). She came to…
Why is there ST depression in aVL in this case of Pericarditis?
This ECG is from an article in the New England Journal on pericarditis. Acute Pericarditis Martin M. LeWinter, M.D. N Engl J Med 2014;…
Is it early repol, pericarditis, or anterior STEMI?
This was sent to me by a reader: This patient was a 26y/o pulled over by Police when he complained of chest pain that radiated to left arm.…
Pericarditis? Or STEMI? The difference can be fatal.
This was sent by a reader who wishes to remain anonymous. Details are at a bare minimum, but it remains instructive. An elderly patient…
Subacute STEMI. Should the patient go for emergent PCI, or can he wait until the next day?
This was sent by a very good medical student, who had a very good question. He wishes to remain anonymous. A 56 y/o male presented with…
What is going on here? There is more than immediately meets the eye.
This is a repost, but it was only posted as a video presentation on hqmeded: https://vimeo.com/18680419 A patient presented with chest…
Apparent Pseudo-STEMI patterns are not necessarily Pseudo. Beware.
This was contributed by an ECG enthusiast who wishes to remain anonymous. LVH is a well-described “mimic” of STEMI. However, a diagnosis of…
The Electrocardiographically Silent Circumflex Artery
A 39 yo otherwise healthy man with no risk factors was walking at the mall when he developed chest pressure. He presented to the ED…
Looking for a wall motion abnormality can lead you astray
A Middle-aged male presented with chest pain of 3 hours duration. He has a history of hyperlipidemia only. There is pressure to…
Inferior STEMI with AV Block, Cardiogenic Shock and ST elevation in V1
This is a case I had with one of our superb internal medicine/emergency medicine residents, Marco Salmen, MD. He wrote it up for this…