What does this ECG with significant ST Elevation represent?
These 2 serial ECGs were texted to me recently. They were recorded 12 minutes apart: “Hey Steve, 30-something with one week of…
A man in his 40s with chest pain and syncope after cocaine use
Written by Pendell Meyers, with edits by Steve Smith A man in his early 40s with history of MI s/p PCI presented with bilateral anterior chest…
A Text Message in the Middle of the night. Do you give thrombolytics?
I awoke in the morning and discovered a text with this ECG that was sent 6 hours prior by a former resident: “60 year old with classic…
A female in her 60s with sudden chest pressure
Written by Pendell Meyers A female in her mid 60s with history of SVT and HTN presented with sudden onset 3/10 chest tightness while lying in…
A 40 year old man with chest pain since last night
Written and submitted by Ashley Mogul, with edits by Pendell Meyers and Steve Smith A man in his 40s with recent smoking cessation but…
The OMI Manifesto Lecture (1 Hour Video Lecture)
Written and recorded by Pendell Meyers Here is a 1-hour video lecture accompanying our OMI Manifesto (released last year on Dr. Smith’s…
Would you have given thrombolytics to this NSTEMI patient?
Case submitted by Dr. James Alva A middle aged male called EMS for chest pain. EMS arrived and confirmed that the patient was complaining of…
Acute MI, pain onset 24-48 hours ago. Should the patient go for emergent angiogram/PCI?
Case 1. A 60-something man with HTN, DM, and hyperlipidemia presented stating he had chest pain starting 48 hours prior to arrival. It was…
Two patients with RBBB
Case 1. A 60-something woman presented with dyspnea. She had a history of chronic respiratory disease and hypoxia, but hypoxia was no…
Inferior Subtle ST elevation: straight ST segment, but also no reciprocal ST depression in aVL: which is more important?
60-something with h/o MI and stents presented with chest pain radiating to the back and nausea/vomiting. Time zero What do you think? There is…