QT Correction Formulas Compared to The Rule of Thumb (“Half the RR”)
This article discusses correction of the QT interval for rate. I’ve been working on this a long time, thought about submitting it to a…
A 30-something with 8 hours of chest pain and an elevated troponin
I received this email: “Hi Steve, “I’m curious what you thought of these ECGs. They were on a 34 y/o with constant CP…
It is not a STEMI; it is an opportunity to save myocardium!
I was teaching about subtle coronary occlusion at EKG conference to our residents a couple days ago. About coronary occlusion that does…
A male in his 50s with chest pain. What is your interpretation?
Written by Pendell Meyers, edits by Smith: A male in his 50s with no significant past medical history complained of several episodes of chest…
Is this acute coronary occlusion? Simple ACS? Where is the culprit lesion?
This was sent by Brandon Stein. This patient presented with chest pain: What do you think? There is “inferior” ST…
A middle-aged woman with chest pain and a “normal” ECG in triage
This was sent to me by a former resident from a community hospital: A middle-aged woman complained of chest pain and was seen in triage. She…
Anterior ST Elevation with Elevated Troponin, but with low T/ST ratio, 2 Cases
Case 1 This case was sent by Michael Masias (EMCurious, Twitter handle: @EMedCurious), an ultrasound fellow in the Department of Emergency…
How can you persuade your cardiologist to take a Non-STEMI patient to the cath lab emergently?
This case was sent by Joseph Ryan (@DocJoseph08), chief resident from Corpus Christi’s EM residency program. This…
12 Example Cases of Use of 3- and 4-variable formulas, plus Simplified Formula, to differentiate normal STE from subtle LAD occlusion
Here are 12 Example Cases using the 3- and 4-variable formulas, which help to distinguish normal ST elevation in leads V2-V4 from that of…
A Middle-Aged Man with crescendo angina
A middle-aged male with several comorbidities including DM presented with chest pain. It had been on and off all day, then constant for…