A 40-something male complains of worrisome chest pain and possible “fever”
This was sent by an EM colleague at Highland Hospital in Oakland. His name is “Deep” A 40-something male complained of…
What happens if you do not recognize this ECG instantly?
Written by Pendell Meyers A young man in his 20s with history of end stage renal disease and dialysis presented for acute chest pain. His last…
Acute coronary occlusion seen in paced *and* non-paced ECGs
This was written by Brooks Walsh @BrooksWalsh, an emergency physician in Connecticut. A paced ECG The family of a very elderly person called…
A 70-Something Woman with a Very Wide Tachycardia
=================================== MY Comment by KEN GRAUER, MD (10/17/2020): =================================== Today’s…
Dynamic ST Elevation
A 70-something male with 3 CAD risk factors developed intermittent left sided chest discomfort 29 hours prior. It began again 2 hours…
Cardiologist declines taking patient to the cath lab. Patient dies.
Sent by anonymous, written by Pendell Meyers A middle aged man presented with acute shortness of breath. Apparently he denied chest pain.…
Not all new T-wave inversion signifies ischemia. Also, what is this irregular rhythm?
This ECG was texted to me with the question “Wellens’?” The computer read was: Atrial Fibrillation, marked ST…
Cardiologists need to keep an open mind and be capable of listening to, and learning from, the Emergency Physician
This was sent by a reader. He wanted to remain anonymous but also wanted to express appreciation for the great job his 4th year resident…
Patient with STEMI (-) OMI is now pain free. Is there need for emergent cath lab activation?
I was reading through a stack of ECGs to put in the formal interpretation, and came across this one: This was my interpretation without having…
“It isn’t a STEMI,” so cath lab refusal (again). Were they right?
Sent by Anonymous, written by Pendell Meyers An elderly female called EMS for acute epigastric pain. EMS arrived and recorded this ECG on the…