This ECG was texted to me: normal variant early repolarization, or LAD Occlusion MI (OMI)?
This ECG was texted to me with no other information. I assumed the presentation was consistent with acute MI. What did I say?…
A 50-something with Regular Wide Complex Tachycardia: What to do if electrical cardioversion does not work?
Case submitted by anonymous. Written by Smith. Ken’s piece at the bottom is excellent. A 50-something presented with sudden onset…
Chest discomfort and a dilated right ventricle. What’s going on?
Written by Magnus Nossen MD, peer reviewed and edits by Smith, Meyers, Grauer A 60 something previously healthy female smoker sought medical…
A 40 year old with nonspecific symptoms including dizziness
A 40 year old with nonspecific symptoms including dizziness. What do you notice about the ECG? There is a very short QT interval. This…
Judge for yourself the management of this patient with “NSTEMI, multivessel disease”
Sent by anonymous, edited by Pendell Meyers A man in his 50s with history only of hypertension presented with acute chest pain that…
50 year-old in remote rural community with chest pain and ‘normal’ ECG
Submitted by anonymous, edited by Jesse McLaren The first person “I” and “me” is this anonymous sender. A 50…
Computer: “Normal ECG,” TIMI-3 flow at angiography: Does this ECG manifest Occlusion MI?
A 60-something awoke with 10/10 crushing chest pain. He walked in to triage. Here is the ECG: Computer interpretation: Normal…
A middle-aged man with acute chest pain.
A 50-something male had onset of chest pain 1 hour prior to ED arrival. It is constant, 9/10, left-sided CP that radiates into…
A woman in her 70s with chest pain
Case sent by Logan Stark MD, written by Pendell Meyers A woman in her 70s presented with acute chest pain. It started 10 hours prior to…
75 year old dialysis patient with nausea, vomiting and lightheadedness
Written by Jesse McLaren A 75 year-old patient with diabetes and end stage renal disease was sent to the ED after dialysis for three…