Chest pain, trop >50,000 but only 30% LAD stenosis on angiogram: what’s the diagnosis?
Written by Jesse McLaren, with comments by Grauer A 60 year old had two hours of exertional chest pain, nausea and diaphoresis, and called…
Inferior ST elevation with reciprocal change: which of these 4 patients has Occlusion MI?
Written by Jesse McLaren, with comments by Smith and Grauer. = = = Four patients presented with cardiorespiratory symptoms, with inferior ST…
Why is there inferior ST elevation, and would you get posterior leads?
Written by Jesse McLaren, with comments by Smith and Grauer A 75 year-old presented with 8 hours of epigastric pain and one episode of…
Chest pain, a ‘normal’ ECG, a ‘normal trop’, and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.
Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chest…
Chest pain + troponin of 1600 + LBBB + 6mm ST elevation = occlusion MI, right?
This case is by Jesse McLaren (@ECGCases), with comments by Smith and Grauer A 50 year-old with CAD and ESRD went to their regular…
False cath lab activation or false cancellation?
Written by Jesse McLaren A 40 year old developed sudden chest pain radiating to the jaw, with diaphoresis and vomiting. What do you think?…
Occlusion/reperfusion through 6 ‘normal’ ECGs
This is written and contributed by Jesse McLaren (@ECGCases), with comments and edits by Smith, and commentary by Ken Grauer (@EKGPress) An 80…
Which ACS had more myocardial damage? The one that meets STEMI criteria, or the one with the ‘normal’ ECG?
This case comes from Jesse McLaren, with some contribution by Smith. Dr McLaren (@https://twitter.com/ECGcases), is an Emergency…
7 steps to missing posterior Occlusion MI, and how to avoid them
This fantastic case and post was written by Jesse McLaren (@ECGcases), edited by Smith Case You’re shown an ECG from a patient in the waiting…