A 50-something woman with chest pain, BP 230/120, and LBBB with 7 mm ST Elevation
A 50-something woman with history of CHF of unknown etiology, and of HTN, presented for evaluation of chest pressure. Her BP was 223/125, Sp02…
A 40-something healthy male with transient chest squeezing
A 40-something man with Hx of treated HTN had chest “squeezing,” with SOB and diaphoresis, 10 hours prior to presentation. It…
Teach your learners: when the QRS is wide, the J-point will hide, so trace it down and copy it over!
Case submitted by Alexis Cates, written by Pendell Meyers A middle aged man with history of HTN, DM, and VSD repair at age 6, presented to the…
Unusual: Troponin Trajectory to Help Determine Ongoing/Recurrent Infarction vs. Completed Infarction.
A 40-something male with no PMH of any kind presented to urgent care on a weekend (cath team is at home) with cough starting 2…
Chest pain, pelvic and abdominal pain, hypotension, and severe ischemia on the ECG
An elderly male was lethargic at the nursing home and complained of some pelvic pain, but then also chest pain and abdominal pain. He…
Do you recognize this ECG yet?
Case contributed by Dr. David Gordon See if you can recognize this ECG without the clinical context: Sinus tachycardia Wide QRS Terminal…
An ECG sent to me with concern for hyperacute T-waves
Written by Pendell Meyers A woman in her 70s with diabetes, hypertension, and hyperlipidemia suddenly developed nausea, diaphoresis, and brief…
Editorial by Meyers and Smith, full text: Prospective, real-world evidence showing the gap between ST elevation myocardial infarction (STEMI) and occlusion MI (OMI)
Read this full text article on the OMI paradigm, from International Journal of Cardiology: Prospective, real-world evidence showing the gap…
Elderly with Paced Rhythm, Possible Ischemic symptoms, and an Equivocal Smith Modified Sgarbossa ECG
An 80 year old presented with a couple days of SOB, weakness, and diaphoresis. There was no chest pain. Here was her initial ECG: What…
Acute Chest pain in a 50-something, and a “Normal” ECG
Chris Mondie of the Newark Beth Israel Emergency Medicine Residency sent this case A 50-something man presented with acute…