A subtle ECG and a subtle angiogram
Written by Willy Frick A man in his early 40s with no past medical history experienced acute onset crushing chest pain and dyspnea. The chest…
Anteroseptal OMI? Accurate ECG interpretation is essential to correctly interpreting the angiogram.
Written by Willy Frick A man in his early 40s with prior anterior OMI s/p bare metal stent to LAD in 2014 presented with acute chest pain,…
Interns are not (yet) poisoned by the STEMI/NSTEMI paradigm
This case was written up by Kuan-Yu (Evan) Lin with some edits by Willy Frick. I (Willy) had the pleasure of working with Evan when he was a…
If you saw this EKG completely isolated from clinical context, how would you interpret it?
Written by Willy Frick This blog has repeatedly made the point that ECGs must always be interpreted in clinical context. But…
What happens when a clinic does not have troponin testing for chest pain patients? Stress testing?
Written by Willy Frick — Commentary added below on 6/4/2025 by Ken Grauer regarding ETT A 90 year old man with history of hypertension,…
And now for something completely different (a very difficult electrophysiology case)
Written by Willy Frick “Two episodes of syncope in the past month. Only speaks French. No chest pain or shortness of breath.”…
Everyone sees ST depression, but what does it mean?
Written by Willy Frick A man in his 70s with hypertension and type 2 diabetes mellitus presented with chest pain which awoke him from…
Can you localize the culprit lesion on angiogram without taking ECG findings into account?
Written by Willy Frick A woman in her 60s with very severe hyperlipidemia (LDL >200 mg/dL) presented with acute onset chest pain. Her…
Normal ACS care, everything by the book! But normal ACS care could be much better. This post explains everything.
Written by Willy Frick A man in his 60s with a history of hypertension and 40 pack-year history presented to the ER with 1 day of…