Is it early repol, pericarditis, or anterior STEMI?
This was sent to me by a reader: This patient was a 26y/o pulled over by Police when he complained of chest pain that radiated to left arm.…
Pericarditis? Or STEMI? The difference can be fatal.
This was sent by a reader who wishes to remain anonymous. Details are at a bare minimum, but it remains instructive. An elderly patient…
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…