A man in his 40s with acute chest pain. What do you think?
Sent by anonymous, written by Pendell Meyers, reviewed by Smith and Grauer A man in his 40s presented to the ED with HTN, DM, and smoking…
Very fast regular tachycardia: 2 ECGs from the same patient. What is going on?
This was written by Magnus Nossen, from Norway, with comments and additions by Smith A 50 something smoker with no previous medical hx…
Which patient has the more severe chest pain?
2 middle aged males presented with chest pain. Which had the more severe chest pain at the time of the ECG? Here is the ECG of…
Morphine + OMI is a bad combination
This is written by Magnus Nossen, with some edits by Smith This ECG diagnosis will be obvious to the majority of the readers of this blog. It…
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 60-year-old diabetic with chest pain, cath lab activated
I came to work one day and one of my partners said, “Hey, Steve, we had a STEMI this afternoon!” I said, “Cool, can I see…
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…