4 patients with chest pain, LVH, and elevated troponin: which has Occlusion MI?
Written by Jesse McLaren Four patients presented with chest pain, an ECG showing LVH, and an elevated troponin. Which patient has an acute…
Chest pain, serial ECGs STEMI negative, first troponin normal: cancel cath lab activation? Exemplary care by an emergency physician!
Submitted by Matthew McArthur, recent emergency physician graduate and regular reader of Dr. Smith’s ECG Blog, ECG Cases, and ECGweekly…
Chest pain in a rural hospital: is this pericarditis or does the patient need thrombolytics?
Written by Mazen El-Baba, with edits from Jesse McLaren A 60-year-old woman presented to a rural emergency department with sudden-onset,…
Chest pain with acute RBBB: just another NSTEMI?
Written by Jesse McLaren, with comments from Smith A 75 year old with a previous MI and ischemic cardiomyopathy presented with 6/10 chest and…
75 year old with acute chest pain: 6 bad reasons not to cath.
Written by Jesse McLaren, edits by Smith A 75 year old without cardiac history presented to the emergency department with 3 hours of acute…
65 year old with chest pain during dialysis
Written by Jesse McLaren, with edits by Smith A 65 year old with history of CABG and end stage renal disease developed sudden chest pain and…
Will this case be flagged for Quality Improvement in the STEMI/NSTEMI Paradigm?
Written by Jesse McLaren A 40 year old presented with 90 minutes of midsternal chest pressure, radiating to bilateral arms, with shortness of…
Will this case be flagged for Quality Improvement in the STEMI/NSTEMI Paradigm?
Written by Jesse McLaren A 40 year old presented with 90 minutes of midsternal chest pressure, radiating to bilateral arms, with shortness of…
Is it possible that this patient with acute chest pain and this ECG does not need emergent intervention?
Case submitted by Andrew Grimes, Advanced Care paramedic, with additions from Jesse McLaren and Smith An 84-year-old male with a…
Chest pain and computer ‘normal’ ECG. Wait for troponin? And what is the reference standard for ECG diagnosis? Cardiologist or outcome?
Written by Jesse McLaren A 50 year old presented to triage with one hour of chest pain, and the following ECG labeled ‘normal’ by the computer…