Subacute STEMI. Should the patient go for emergent PCI, or can he wait until the next day?
This was sent by a very good medical student, who had a very good question. He wishes to remain anonymous. A 56 y/o male presented with…
What is going on here? There is more than immediately meets the eye.
This is a repost, but it was only posted as a video presentation on hqmeded: https://vimeo.com/18680419 A patient presented with chest…
Apparent Pseudo-STEMI patterns are not necessarily Pseudo. Beware.
This was contributed by an ECG enthusiast who wishes to remain anonymous. LVH is a well-described “mimic” of STEMI. However, a diagnosis of…
The Electrocardiographically Silent Circumflex Artery
A 39 yo otherwise healthy man with no risk factors was walking at the mall when he developed chest pressure. He presented to the ED…
Looking for a wall motion abnormality can lead you astray
A Middle-aged male presented with chest pain of 3 hours duration. He has a history of hyperlipidemia only. There is pressure to…
Inferior STEMI with AV Block, Cardiogenic Shock and ST elevation in V1
This is a case I had with one of our superb internal medicine/emergency medicine residents, Marco Salmen, MD. He wrote it up for this…
Shouldn’t need Modified Sgarbossa rule for cath lab here, but it does make the diagnosis certain!
I received this case from a medic (in quotes): “Wanted to know your thoughts on this ECG.” “Woman in early 70’s…
T-wave inversion in a young woman with hyperventilation and carpopedal spasm
This case is another good one contributed by Brooks Walsh, with an excellent review. A 24 year-old African-American female presented to the ED…
Rupture of Aneurysm of the Sinus of Valsalva Presenting as Cardiogenic Shock and Severe Ischemia
This was sent by Nick Jubert, MD, one of our fine EM residency graduates who works at a facility without a cath lab, so has to transfer…
Chest pain in an elderly male.
An elderly male complained of chest pain. Here is his ED ECG: Inferiorly, there are Q-waves with minimal ST elevation and reciprocal ST…