“Unstable Angina still exists”, even in the Age of High Sensitivity Troponin
This case comes from a long term blog reader from Norway. Case: 49 y.o male. No previous medical hx. 15-20 pack year smoking history.…
A Simplified Formula Discriminating Subtle Anterior Wall Myocardial Infarction from Normal Variant ST-Segment Elevation
Dr. Emre Aslanger has published a simpler formula for differentiating electrocardiographically subtle LAD occlusion from normal variant ST…
A Middle-Aged Man with Blunt Trauma and Hemopericardium
A Middle-Aged man had a single vehicle motor vehicle collision with significant energy. He was hypotensive upon arrival. A bedside ultrasound…
“Are these hyperacute T-waves?” – what is your recommendation for the team in these two cases?
Written by Pendell Meyers, edits by Steve Smith When practitioners are learning a new ECG concept for the first time, they very appropriately…
A 58 year old with Weakness and more than 4 mm ST Elevation in V3
This case was sent by Lou B, a paramedic and RN. He writes: “We were dispatched to a 58 yo male who had been out in the sun for 2-3…
12 Year Old Asthmatic with Intermittent Dyspnea Unresponsive to Albuterol—What is it, and Why Now?
This case was written by one of our great Hennepin 2nd year residents, Aaron Robinson, with lots of comments and edits by Smith. Thanks to Dr.…
Sudden Chest pain and SOB with a Wide Complex Tachycardia
This case was contributed by a medic who wishes to remain anonymous (his comments are in red). This was a 60 something male who called for…
A Middle-Aged Man with Chest pain, Hypotension and Tachycardia
In the evening, a middle-aged man complained of chest pain at the nursing home. Nurses found him with a BP of 50/30 and heart rate of…
An athletic 30-something woman with acute substernal chest pressure
Post by Smith, with short article by Angie Lobo (https://twitter.com/ALoboMD), a third year intermal medicine resident at Abbott…
Chest pain and T-wave inversion in lead V2
This is the ECG of a young man who complained of chest pain. Here is the computer interpretation: ATRIAL FLUTTER/TACHYCARDIA (this is…