A 40-something with chest pain
This was sent by Sam Ghali @EM_RESUS A 44 year old man presented with chest pain The tech came running with the ECG as the computer called…
Chest pain and a computer ‘normal’ ECG. Therefore, there is no need for a physician to look at this ECG.
Written by Jesse McLaren, comments by Smith A 55 year old with a history of NSTEMI presented with two hours of exertional chest pain, with…
Acute chest pain in a patient with LVH and known coronary disease. What does the ECG show?
A 40-something with severe diabetes on dialysis and with known coronary disease presented with acute crushing chest pain. Here is his ED ECG:…
What kind of AV block is this? And why does she develop Ventricular Tachycardia?
This was written by Magnus Nossen The patient is a female in her 50s. She presented with a one week hx of «dizziness» and weakness. She was…
A man in his 30s with chest pain. How was he managed? What if they had used the Queen of Hearts?
Written by Pendell Meyers A man in his late 30s with history of hypertension, tobacco use, and obesity presented to the Emergency Department…
Two patients with chest pain, with QRS obscured: which was STEMI positive, and which had Occlusion MI?
Written by Jesse McLaren Two patients presented with acute chest pain, and below are the precordial leads V1-6 for each. Patient 1 (ECG…
Noisy, low amplitude ECG in a patient with chest pain
Written by Colin Jenkins. Colin is an emergency medicine resident beginning his critical care fellowship in the summer with a strong…
Orthostatic hypotension onset after invasive procedure?
Written by Willy Frick A man in his 70s with a history of HFrEF and sick sinus syndrome s/p dual chamber pacemaker placement was admitted…
A fascinating electrophysiology case. What is this wide complex tachycardia, and how best to manage it?
This was written by Magnus Nossen from Norway The patient is female in her 80s with a medical hx of previous MI with PCI and stent placement.…