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%.…
A 50-something with acute chest pain
A 50-something presented with acute chest pain. Here is her ED ECG. It was texted to me while I was out and about. He wrote:…
A 40-something male with resolving chest pain and a “Normal ECG” by computer and cardiology overread
A 40-something male presented by ambulance with one hour of chest pain that was improving after sublingual nitroglycerine and 325 mg of…
A young lady with wide complex tachycardia. My first time actually making this diagnosis de novo in real life in the ED!
Written by Pendell Meyers A woman in her 30s with minimal past medical history presented simply stating she was “feeling unwell.”…
Another myocardial wall is sacrificed at the altar of the STEMI/NonSTEMI mass delusion (and Opiate pain relief).
I received the following text message with these 3 EKGs (providers text me ECGs all day every day; most are false positives; many are subtle…
Chest pain and shock: Is there a right ventricular OMI on this ECG? And should he undergo trancutaneous pacing?
A 50-something man presented in shock with severe chest pain. His prehospital ECG was diagnostic of inferior posterior OMI. The patient was in…
20-something with huge verapamil overdose and cardiogenic shock
A 20-something presented after a huge verapamil overdose in cardiogenic shock. He had been seen at an outside institution and been…