ST Elevation: is it due to old MI (LV aneurysm) or to acute STEMI?
A middle aged male was resuscitated from cardiac arrest (ventricular fibrillation). Here is his initial ECG. He was hypotensive.…
Male in 30’s, 2 days after Motor Vehicle Collsion, complains of Chest Pain and Dyspnea
This male in his 30s with h/o Hypertension ran broadside into another car at 40 miles per hour (65 km per hour) 2 days prior. There…
Sudden Cardiogenic Shock
An elderly woman presented with rather sudden altered mental status, hypoxia, and hypotension. She had no significant past medical…
Incredible Case Demonstrating the Value of Frequent Serial ECGs
This case is presented and written by Vince DiGiulio, (EMT-Critical Care and emergency department tech). As his title shows, he is…
Chest pain in a middle-aged male
A middle-aged male presented with acute onset of typical ischemic type chest pain. Here is his initial ECG: What do you see? He had a previous…
Anterior STEMI?
The patient presents to the emergency Department with complaints of substernal left-sided chest pain present for 4 days but worse in the last…
Unstable Angina: Dr. Braunwald asks if it is time for a Requiem
In a recent commentary, Dr. Eugene Braunwald asked if it is time for a Requiem for Unstable Angina (ACS without a positive troponin, as…
Chest pain in a patient with previous inferior STEMI. Scrutinize both the ECG and the history!
I was looking through a stack of ECGs (I can’t help myself) and saw this one, which caught my eye: What do you think? Computerized…
Waxing and Waning Chest Pain
A male in his 50s presented with Chest pain on and off during the day. At the time of presentation, he had only some jaw pain. An…