‘NSTEMI’ or reperfused OMI? And which lesion is the culprit?
Written by Jesse McLaren An 80 year old with a history of CHF, ESRD on dialysis, and multiple prior cardiac stents presented to the…
Hyperacute T wave or not: do any of these 4 ‘STEMI’ ECGs have Occlusion MI?
Written by Jesse McLaren, with edits from Meyers Four patients presented with chest pain or shortness of breath, and ECGs labeled…
Two patients with chest pain and RBBB: do either have occlusion MI?
Written by Jesse McLaren Two patients in their 70s presented to the ED with chest pain and RBBB. Do either, both, or neither have…
Healthy 45-year-old with chest pain: early repolarization, pericarditis or injury?
Submitted by Dr. George Mastoras (Twitter @georgemastoras), written by Jesse McLaren It’s a busy day in the ED when you’re sent another ECG to…
Serial ECGs for chest pain: at what point would you activate the cath lab?
Written by Jesse McLaren A healthy 75 year old developed 7/10 chest pain associated with diaphoresis and nausea, which began on…
60 year old with chest pain, STEMI negative. What should the discharge diagnosis be?
Written by Jesse McLaren A previously healthy 60 year old developed exertional chest pain with diaphoresis, and called EMS.…
Chest pain with serial ECGs – can you guess the sequence?
Written by Jesse McLaren A 45-year-old presented with 24 hours of intermittent chest pain. Below are serial ECGs focusing on the…
Chest pain: Are these really “Nonspecific ST-T wave abnormalities”, as the cardiologist interpretation states?
Written by Jesse McLaren, with a very few edits by Smith A 60-year-old presented with chest pain. The ECG did not meet STEMI criteria,…
Two patients with diffuse ST depression and reciprocal ST elevation in aVR: do either/both/neither have Occlusion MI?
Written by Jesse McLaren, with additions from Smith Two patients presented with chest pain with ST elevation in aVR, and the same final ECG…