K. Wang Video: Aortic Dissection? STEMI? Both? (5 minute video)
This is a fine short summary of the topic. One disclaimer: At the end of the talk, K. states that ST segment depression in lead I in inferior…
Diffuse ST elevation and Chest pain in an Agitated Middle-aged male: Anterior STEMI or Takotsubo Stress Cardiomyopathy?
A male in his 40’s was discharged from the ED after evaluation for chronic back pain. He was denied opiate medication and was very…
Chest Pain in a 61 year old male. Inferior STEMI without inferior ST elevation.
This 61 year old has a h/o CABG 20 years prior. Onset of chest pain 1 hour prior to calling 911. Here is the prehospital ECG:…
Right Bundle Branch Block with Biphasic Wave in lead V2?
A middle-age alcoholic presents with weakness and vague abdomimal discomfort. The patient’s previous ECG was from 4 years prior…
Repost from 2009 on Posterior STEMI
I was pleased to see the discussion of posterior MI come up on “Academic Life in Emergency Medicine”. However, the topic of…
What does this tracing show? (contributed by K. Wang)
I don’t have the clinical presentation, but the ECG is diagnostic on its own: See question and answer below What does this tracing show?…
Man in his 60’s with very subtle ECG and pain not controlled with medical therapy
A male in his 60’s presented 30 minutes after the onset of crushing substernal chest pain. Medics recorded 2 ECGs, one before and…
Chest Pain in a Male in his 20’s; Inferior ST elevation: Inferior lead “early repol” diagnosed. Is it?
A 20-something male presented from an outside facility with Chest pain. Vital signs were normal. History: Onset of CP 2.5 hours prior to…
Increasing ST elevation. STEMI vs. dynamic early repolarization vs. pericarditis.
Here is a series of ECGs with increasing ST elevation (STE). They are of a young male with pleuritic, but not positional, chest…