PseudoSTEMI and True ST elevation in Right Bundle Branch Block (RBBB). Don’t miss case 4 at the bottom.
Case 2. A middle-aged male with h/o CAD and stents presented with typical chest pressure. Here is his ECG: The resident was…
Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG.
A completely healthy 39 year old woman with no cardiac risk factors had sudden onset of bilateral trapezius pain that radiated around to her…
A large R-wave in lead V1. And why is the PR interval not short?
This 20-something male presented with alcohol withdrawal, alcoholic hepatitis, and alcoholic steatosis. There was no chest pain or…
Approach to Potential Ischemic Chest Pain in the Emergency Department
This is a lecture for my residents that I have done since the early 90’s, and update every 3 years. There is a lot of new data in…
A 21 year old with Chest pain
A 21 year old presented with typical chest pain. Here is his ECG: There is inferior and lateral ST elevation. Pericarditis, right?…
“How could I convince my interventionalist to come do a cath in the middle of the night?”
I just received this email today. I receive these fairly frequently: Dear Dr. Smith: I am an Emergency physician working in an outlying…
Sudden Severe SOB and ST Segment Elevation: What is the Diagnosis and Treatment?
A middle aged man with history of MI presented by EMS for the sudden onset of difficulty breathing. Prehospital, he was in respiratory…
Pediatric Drug Dosing Book – Indispensable! Far better than any App. Nearly FOMAed: only $25.00.
I don’t usually deviate from ECGs and Cardiology, but I must for this. My partner, Albert Tsai, our director of pediatrics, has written…
2 weeks of chest pain, weakness. Presents with tachycardia.
A middle-aged male with no significant past history complained of chest pain for 2 weeks. He stated that it was intermittent and there…
A very elderly woman with a pacemaker and minimal symptoms
This was a very elderly woman with a pacemaker and minimal symptoms: What are these broad complexes superimposed on the native QRS? Are…