63 year old with “good story for ACS” but negative troponins…..
This was texted to me from a former resident, while working at a small rural hospital, with the statement: “I can’t convince…
Young Man with Very Fast Regular Wide Complex Tachycardia
EMS was dispatched for a 30-something male who feels his heart is racing. Sudden onset. The patient had no previous medical history.…
An Intriguing Rhythm: Who Belongs to Whom?
=================================== MY Comment, by KEN GRAUER, MD (6/26/2023): =================================== The tracing…
Wide complex tachycardia and hypotension in a 50-something with h/o cardiomyopathy — what is it?
A 50-something male with unspecified history of cardiomyopathy presented in diabetic ketoacidosis (without significant hyperkalemia) with a…
A man in his 50s with acute chest pain who is lucky to still be alive.
Sent by Magnus Nossen MD, written by Pendell Meyers A man in his 50s, previously healthy, developed acute chest pain. EMS was called,…
A man with chest pain off and on for two days, and “No STEMI” at triage.
Written by Kaley El-Arab MD, edits by Pendell Meyers and Stephen Smith A 61-year-old male with hypertension and hyperlipidemia presented…
Active chest pain. Fake? or Inferior OMI? Hyperacute T waves?
Written by Pendell Meyers A middle aged man called EMS for acute chest pain. EMS recorded this ECG during active symptoms and transmitted it…
Two ECGs texted to me in the same hour. What would you recommend?
Written by Pendell Meyers Both of these cases were sent to me with no information other than adults with acute chest pain. What would be your…
A young man with another episode of tachycardia. What is it? And why give adenosine in sinus rhythm?
Written by Bobby Nicholson MD and Pendell Meyers A man in his 30s presented to the ED for evaluation of chest pain and palpitations. He…
75 year old with 24 hours of chest pain, STEMI negative
Written by Jesse McLaren A 75 year old with a history of CABG called EMS after 24 hours of chest pain. HR 40, BP 135/70, RR16, O2 100%.…