Bradycardia, SOB, in a Dialysis Patient
A dialysis patient presented with dyspnea and a heart rate of 33. His medications included amlodipine and carvedilol. He has a…
Repost: a certain pattern of PseudoSTEMI, with or without superimposed STEMI
I posted this on March 1, 2012. I was inspired by a post by Len Jin Yee to repost. But this time without the answers. …
Is the LAD really completely occluded when there are de Winter’s waves?
A male in his 30’s complained of sudden severe substernal chest pain. He was rushed to the critical care area where they recorded…
Head On Motor Vehicle Collision. ST depression. Myocardial Contusion?
A woman in her 40’s was involved in a head-on motor vehicle collision. EMS noted a facial droop. On arrival she was hypertensive…
History of Hypertrophic Cardiomyopathy (HOCM), with Tachycardia and High Lactate
A patient under 40 with h/o HOCM and implantable cardioverter-defibrillator (for secondary prevention of VF arrest that occurred during…
A 29 year old male with pleuritic chest pain for 6 hours
This case was sent to me by Taylor Sanders of the LSU- Baton Rouge Emergency Medicine residency. A 29 year old complained of 6 hours of…
Respiratory Failure and ST Depression: Is there Posterior STEMI?
The ultrasound in this case was recorded by Dr. Robert F. (Rob) Reardon, one of my partners here at Hennepin County Medical Center (HCMC) in…
Sudden Left Trapezius Pain and Syncope
An otherwise healthy middle aged smoker complained of sudden left trapezius pain. He then began to fell very dizzy. He also had…
Dynamic T-wave inversion (apparent Wellens’ waves), all troponins negative: Unstable Angina
This middle-aged woman presented with increasing intermittent substernal chest discomfort similar to her GERD, but not relieved by the usual…
Long QT: Do not trust the computerized QT interval when the QT is long
A middle-aged male with h/o DM was found down. He was hypoglycemic (mild, 45 mg/dl) and had pneumonia with hypoxia. He had this…