Is it pulmonary embolism?
This is a 41 year old male with severe asthma who barely avoided intubation. His troponin I returned at 0.130 ng/mL, and here is his…
Answer: pulmonary embolism. Now another, with ultrasound….
This 18 year old presented with syncope and tachycardia. Similar to the last case (the “quiz”), there is sinus tachycardia with…
This is a quiz. The ECG is nearly pathognomonic. Answer at bottom.
A 38 year old with chest pain and SOB: The answer can be found here (a different example of the same pathology, with explanation):…
Anterior MI: Ongoing STEMI, reperfused STEMI, or NonSTEMI?
An 80 yo male presented with chest pain onset 1130 AM. The prehospital ECG was reported to have some “ST depression”,…
LBBB with acute STEMI due to ruptured obtuse marginal, diagnosed with bedside ultrasound
This 74 yo male had just returned to his unit bed after successful PTCA of tight lesions of the first diagonal and obtuse marginal coronaries.…
Classic Evolution of Wellens’ T-waves over 26 hours
A middle-aged patient presented with resolved chest pain. t = 0, presentation to ED: Initial ECG of 50 yo woman who had prehospital chest…
Reperfusion through collaterals associated with nitroglycerin, lead reversal mimics T-wave inversion (and fooled me)
This 69 yo male with a history of HTN, but no h/o CAD, presented with chest pain at an outside hospital at 1700 hours with chest pain onset at…
Chest Pain, SOB, anterior T-wave inversion, positive troponin
This 38 yo male presented with chest pain with activity for 4 days, worse on the day of presentation, and associated with SOB. He has a…
New RBBB and subtle NSTEMI
This 49 year old male presented with chest pain. Initial ECG: sinus with QRS of 128 ms and RBBB, though not obvious. There is T-wave…
New LBBB and Massive ST elevation: Do not automatically jump to activate the cath lab!
This 50 year old male presented with some atypical chest pain and a blood pressure of 220/150. There is Left Bundle Branch Block with up to 6…