A 40-something with chest pain. Is this inferior MI?
This was sent by a Saleh Hatem, an avid reader of the blog. The patient presented with chest pain: ECG #1: There is a narrow complex…
A man in his 60s with chest pain. Could you have prevented his cardiac arrest?
Written by Pendell Meyers A man in his 60s with HTN and AF presented with chest pain that started about 1 hour ago and started to subside…
Are these Wellens’ waves?
An ECG was texted to me (Smith) without any clinical information: What did I say? My answer: “This is classic for PE, but it can also be…
70 year old woman with non-exertional non-radiating chest discomfort
This was sent by a reader: “I would really appreciate your thoughts on this ekg progression. 71 yo F, only risk factor hyperlipidemia,…
What are these wide complexes? If unclear by explanation, the laddergram helps to understand.
An 18 y.o. female who presented for chest pain. Patient reports productive cough and headache x 4 days. She notes persistent sternal chest…
32 yo with right sided chest pain. Zero ST Elevation, but that does not matter.
This was sent by a reader. He does a nice job of examining the whole case, so I leave it (mostly) in his words. 32 yo M Sudden onset…
A 53 yo woman with cardiogenic shock. Believe me, this is not what you think.
This was sent by a reader. A previously healthy 53 yo woman was transferred to a receiving hospital in cardiogenic shock. pH was 6.9 and K was…
A man in his 50s with “gas pain”
Written by Pendell Meyers, sent by Anonymous A man in his 50s with history of type 2 diabetes, HTN, and HLD presented with one day of off and…
ST Elevation in aVL with reciprocal ST Depression in inferior leads and DIffuse ST depression
An elderly male had volume depletion and anemia, and complained of chest pain. We recorded this ECG: Q-waves and ST Elevation in I and aVL ST…
Syncope and Prehospital Cath Lab activation — What do you think?
A 61 y.o. male with a history of HTN and ETOH developed squeezing epigastric abdominal pain with associated vomiting and diaphoresis, followed…