Hyperacute T-waves and Concordant ST Elevation seen in PVCs only
Today’s case comes from Steffen Grautoff, an Emergency Physician and Cardiologist who works on the Emergency Vehicles in northwest…
A “normal ECG” on a busy night
Written by Pendell Meyers We walked in to an overnight shift with approximately 70 patients in the waiting room and a room full of sign-outs…
Anterior MI in paced rhythm, dismissed by cardiologist, patient died.
This was shown to me by a very astute Hennepin paramedic. Although this comes from a Hennepin paramedic, the patient was not brought to…
A 60 year old patient with large T-wave inversions
Written by Andrus Alian and Pendell Meyers, with edits by Steve Smith A female in her 60s with history of stage IV lung cancer presented to…
A dialysis patient with nonspecific symptoms and pseudonormalization of ST segments
This is a case written by Dan Lee (One of our fantastic Hennepin Residents, class of 2020) edits by Smith A 60 something-year-old man…
A 65 year old with chest pain, ECG recorded at 50 mm/sec
This case was sent by Peter Hammarlund, from Stockholm, Sweden: Hi Steve, What would you say about this ECG? A 65 yo smoking man with a prior…
Tachycardia and ST Elevation.
This Case was sent from Anonymous. A middle-aged patient was sent to the ED with tachycardia. He denied any sensation of palpitations, but his…
New Lecture on High Sensitivity Troponin Protocols in the ED
It is my task to educate our residents on chest pain, ECGs, and troponin. So for years I have been lecturing on the topic of chest pain…
See what happens when hyperacute T-waves are missed
Written by Pendell Meyers, edits by Steve Smith A man in his 60s with history of hypertension and MI 10 years ago, with PCI, presented to an…
A completely healthy 30-something woman with acute chest pain — this post is loaded with info !!!
A previously healthy young woman presented to the ED with one hour of acute onset right sided chest pain and pressure, very severe, radiating…