Palpitations and Chest Tightness: Should You Activate the Cath Lab (or Give Thrombolytics)?
This case was sent by Jessica Carmichael, and Emergency Physician on active duty at Irwin Army Community Hospital in Fort Riley,…
Insulin Overdose: Does this ECG help to Guide your Management?
This patient with diabetes, but no other health problem, presented after a large insulin overdose. What finding fits with insulin overdose?…
A 60-something year old man with chest pain and a wide QRS
Written by Pendell Meyers, with edits by Steve Smith A man in his 60s with history of CAD s/p PCI, HTN, presented with chest pain which…
You Diagnose Pericarditis at your Peril (at the Patient’s Peril!)
The source of this case is anonymous. A 40 something woman with a history of hyperlipidemia and additional risk factors including a smoking…
A Wide Complex Rhythm in an Intoxicated Patient
This patient presented with altered mental status and was thought to be intoxicated. He did not have any other apparent medical issues.…
Chest Pain and Inferior ST Elevation.
A middle-aged patient with lung cancer had presented to clinic complaining of generalized malaise, cough, and chest pain. He had an ECG in…
Patient with Paced Rhythm in Severe Cardiomyopathy Presents with SOB due to Acute Decompensated Heart Failure
This is a middle-aged male with h/o with a history of heart failure with severely reduced ejection fraction due to dilated ischemic…
An elderly woman found down with bradycardia and hypotension
Submitted by Alex Bracey, with edits by Pendell Meyers and Steve Smith A female in her 70s with PMH of hypertension, coronary artery disease,…
Left Bundle Branch Block, Severe Chest pain, Previous Normal Angio. What is going on?
A middle-aged woman with idiopathic cardiomyopathy and biventricular failure, with previous EF of 15%, presented with sudden onset severe…
Chest pain, Ventricular Paced Rhythm, and a Completely Normal Angiogram 3 Months Prior.
One of our graduates, Rochelle Zarzar, who is now an education fellow, sent me this from one of the hospitals she works at now: An elderly…