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…
Patient is informed of her husband’s death: is it OMI or it stress cardiomyopathy?
Written by Willy Frick Disclaimer at the outset: Some aspects of this case are not completely clear to me, and approach being unknowable.…
After seeing this ECG, are there any medications you would consider giving?
Written by Willy Frick A man in his 50s with COPD presented with dizziness and hypotension. He had worked overnight the night before and…
What factor determines final diagnosis of STEMI vs. NSTEMI? Is it ST Elevation? Occlusion? or Something else? What?
The answer is at the bottom, and illustrated by this case. Written by Willy Frick A man in his mid 30s with type 1 diabetes presented…
** **ACUTE MI/STEMI** **: Activate the cath lab if the patient has chest pain?
Written by Willy Frick I was reviewing our institutional PMcardio account which we are using to improve early identification of patients with…
Syncope and a short pause on event monitor
Written by Willy Frick A middle aged man was inspecting the food in his (closed) oven when he felt a few moments of light-headedness. He…
Should we wait for troponin when the ECG does not show “diagnostic” ST Elevation?
Written by Willy Frick A 52 year old man with hypertension, dyslipidemia, and seropositive rheumatoid arthritis (a risk factor for CAD)…
Is it important to try to determine the culprit vessel based on ECG?
Written by Willy Frick A man in his 60s with hypertension and prior stroke presented with three days of crushing chest pain. He reported…