Incredible Case Demonstrating the Value of Frequent Serial ECGs
This case is presented and written by Vince DiGiulio, (EMT-Critical Care and emergency department tech). As his title shows, he is…
Chest pain in a middle-aged male
A middle-aged male presented with acute onset of typical ischemic type chest pain. Here is his initial ECG: What do you see? He had a previous…
Anterior STEMI?
The patient presents to the emergency Department with complaints of substernal left-sided chest pain present for 4 days but worse in the last…
Unstable Angina: Dr. Braunwald asks if it is time for a Requiem
In a recent commentary, Dr. Eugene Braunwald asked if it is time for a Requiem for Unstable Angina (ACS without a positive troponin, as…
Chest pain in a patient with previous inferior STEMI. Scrutinize both the ECG and the history!
I was looking through a stack of ECGs (I can’t help myself) and saw this one, which caught my eye: What do you think? Computerized…
Waxing and Waning Chest Pain
A male in his 50s presented with Chest pain on and off during the day. At the time of presentation, he had only some jaw pain. An…
Prehospital Inferior STEMI: Bedside Echo in ED is normal
A woman in her 60’s complained of chest pain. 911 was called. She had this prehospital ECG: Obvious Infero-posterior and…
A Very Unstable Angina. No STEMI present, but needs the cath lab now.
An elderly woman with h/o diabetes and hypertension but no prior cardiac history had been having exertional chest pain for months, though with…
A Non STEMI that needs the cath lab now.
A male in his 60’s called 911 for chest pain. He had some cardiac risk factors including hypertension, on meds, but no previous…
New ACC poster: many STEMI patients present with subtle ST elevation.
New ACC poster: many STEMI patients present with subtle ST elevation. Their prognosis is similar to those who meet STEMI…