Persistent Chest Pain, an Elevated Troponin, and a Normal ECG. At midnight.
A middle aged male presented at midnight after 14 hours of constant, severe substernal chest pain, radiating to his throat and to bilateral…
Acute Chest Pain: Computer reads “Nonspecific ST-T abnormalities”
A male in his 60’s had a history of previously stented infero-posterior-lateral STEMI due to an occluded dominant circumflex, which had…
Syncope Several Times, Complete Heart Block, And a Surprise ECG in the ED!
This was sent by one of our graduates who will remain anonymous. A 55 year old male with a history of DM and HTN had 2 syncopal episodes, then…
Right Precordial T-wave Inversion
This was posted on Facebook EKG club by Massimo Bolognesi, from Italy. He is a highly respected Sports Medicine Cardiologist.…
ST Elevation in aVL. Reciprocal ST depression in III. Is it MI?
I was reading this ECG in the queue, with no clinical info. What do you think? My interpretation was LVH, no evidence of MI. There…
A Young Man with Recurrent Chest Pain and Dyspnea with Exertion
Case This is a young man who has had chest pain and dyspnea with exertion for years. He presented to the ED with these symptoms again.…
What are these wide complexes?
A middle-age male arrived by private car with chest pain. He immediately became unresponsive, before an ECG could be recorded. He was…
Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!
This was contributed by some folks at Wake Forest: Jason Stopyra, Shannon Mumma, Sean O’Rourke, and Brian Hiestand. It was edited by…
Chest Pain and Cardiogenic Shock with Profound ST Depression & STE in aVR. Activate the Cath Lab?
A middle-aged woman with known severe coronary disease had onset of substernal chest pain while at dialysis. 911 was called. A…
Paper published: Terminal QRS distortion not found in any ECG of Early Repolarization
This ECG comes from a 30-something with chest pain. Is it early repolarization? Or is it LAD occlusion? The paper below…