Prehospital Cath Lab Activation for inferior STEMI — do you agree?
A 40-something male complained of 3 days of chest pressure. He called 911. He had some pulmonary edema and hypoxia. Here is the…
A man in his 40s with a highly specific ECG
Case submitted by Charles Harris M.D. and Vitaliy Belyshev M.D., with edits by Pendell Meyers A 43 year old man with no reported past medical…
Nonspecific symptoms with RBBB and New ST Elevation. Anterior STEMI, right? What does the echo show?
A 50-something male with a history of COPD and substance use disorder who presented with generalized weakness and exacerbation of chronic back…
20-something with anxiety. Pulse is 169. Then 229. Then 169. Then 229. Latent conduction vs. Concealed Conduction. 3 Pathways.
A young woman in her third trimester of pregnancy had complained of panic attacks on multiple occasions. She presented to the ED…
Does this ECG represent acute ischemia?
I was shown this ECG, without any clinical data: What do you think? My answer: “I think it is a baseline ECG, not ischemic.”…
A man in his 50s with acute chest pain and diffuse ST depression
Submitted by Alex Bracey, with edits by Meyers and Smith A man in his 50s with history of type B aortic dissection with prior TEVAR…
80-something year old with acute chest pain. 3 visits. Fascinating Ultrasound progression
An 80-something year old man with history of metastatic cancer had acute onset of chest pain and called 911. Here is his prehospital ECG: What…
Trust a computer read of “Normal ECG” at your peril!
This case was contributed by Brooks Walsh, an emergency physician in Connecticut. Don’t trust the “Normal ECG” It’s…
De Winter’s T-waves are Not a Stable ECG condition. Upright T-waves in Posterior OMI are Distinct from de Winter’s waves.
This was just published in JAMA Internal Medicine: The de Winter Electrocardiogram Pattern Evolving From Hyperacute T Waves It reminded me…
A 53 year old with chest pressure has a diagnostic EKG (EKG 1). What is it? Chest pressure resolves (EKG 2)
A 50-something male had onset of pain approximately 30 min prior to arrival and was still present on arrival. The pain was described as…