Would you have given thrombolytics to this NSTEMI patient?
Case submitted by Dr. James Alva A middle aged male called EMS for chest pain. EMS arrived and confirmed that the patient was complaining of…
ST segment concavity is just one small piece of the puzzle that is pattern recognition
Written by Pendell Meyers Here are two striking examples from a single shift highlighting the fallibility of the standard “smiley…
A man in his sixties with chest pain at midnight with undetectable troponin
Written by Pendell Meyers A male in his 60s with no known past medical history presented at midnight with chest pain over the past 3 hours.…
A man in his sixties with chest pain at midnight with undetectable troponin
Written by Pendell Meyers A male in his 60s with no known past medical history presented at midnight with chest pain over the past 3 hours.…
Doctor, should we activate the hospital’s “STEMI alert”?
Written by Pendell Meyers I received this prehospital ECG (we receive prehospital ECGs by telemetry from EMS in a large area around our…
Can you see through this paced rhythm?
Written by Pendell Meyers An elderly female with known CAD and multiple stents, pacemaker, stroke, and COPD presented with 2 hours of…
How long would you like to wait for your Occlusion MI to show a STEMI? Sometimes serial ECGs minimizes the delay.
Written by Pendell Meyers An elderly woman presented with acute onset chest pain and shortness of breath. EMS showed us their ECG on arrival…
The delay between OMI and STEMI claims yet another patient’s anterior wall
Written by Pendell Meyers with edits by Steve Smith An elderly woman with HTN presented with L sided chest pain, intermittent over the past…
An elderly woman transferred to you for chest pain, shortness of breath, and positive troponin – does she need the cath lab now?
Written by Alex Bracey, with edits by Smith and Meyers A female in her 70s presented to the ED at sign out while working in our acute…
Three EKGs shown to me – which if any need emergent reperfusion?
Written by Pendell Meyers We commonly get feedback from readers who are skeptical that we can pick out the subtle NSTEMI occlusions from…