Complaint of Weakness. Alert. Hemodynamically Stable. What is it?
A male in his 60’s, dialysis patient, complained of weakness. He was alert and had no SOB or Chest pain. BP was 85/57 with a…
ST Elevation and a Positive Troponin: Is it Myopericarditis or STEMI?
A 51 yo male smoker with no other CV risk factors and no previous heart disease presented to a hospital without PCI capability complaining of…
Dyspnea on Exertion and a Positive Troponin
A woman in her 50’s complained of dyspnea on exertion for two days. Her lungs were clear on exam. Her first troponin I…
Paroxysmal SVT (PSVT) that repeatedly recurs in spite of successful conversion with adenosine
An elderly male complained of dyspnea. His pulse was regular at just under 150. BP was 110/70. There was no evidence of…
45 year old with chest pain
A 45-year-old male was in his usual state of health until three hours prior to arrival, when he developed left-sided chest pressure with…
5 hours of chest pain. How acute is the STEMI?
A male is his 30’s with h/o HTN presented after 6 hours of chest pain. The pain was crushing and substernal, associated with…
Outstanding General Lecture on the ECG in Acute MI: 34 minutes by Dr. K. Wang.
ECG Manifestations of Myocardial Infarction from HQMedEd on Vimeo. cited previous videos: Ta Wave (Atrial Repolarization Wave), how it affects…
P2Y12 Inhbitors in the ED for NonSTEMI. Criticisms of the ACCOAST-ed trial of Upstream vs. Delayed Prasugrel
Rick Body had a nice piece in St. Emlyn’s about the ACCOAST-ed trial, a study recently published in the NEJM on the use of Prasugrel in…
Look at the PVCs!!
An elderly woman presented with chest pain. She was hemodynamically stable. Here is her initial ECG: There is bigeminy. …