Bupropion Overdose Followed by Cardiac Arrest and, Later, ST Elevation. Is it STEMI?
A young woman presented with status seizures and apparent overdose of bupropion. There was a question of cocaine use too (with later…
Syncope in a 20-something woman
A 20-something was outside exerting herself. She states that it was hot outside and that she was probably dehydrated. At one…
A man in his 40s with chest pain
Case submitted and written by Alex Bracey, with edits by Pendell Meyers and Steve Smith This ECG was tossed onto my desk on my first day of a…
Is there a Right Ventricular MI in addition to Infero-postero-lateral MI?
A 40-something woman had sudden chest pain. She called 911. This prehospital ECG was recorded: Here are limb leads: Here are…
Test yourself: how many hours between your diagnosis of OMI and positive STEMI criteria?
Written by Pendell Meyers, with edits by Steve Smith A male in his early 40s presented with intermittent chest/abdominal pain. He admitted to…
Syncope and Atrial fibrillation in a Healthy 70-something Male
An otherwise healthy 70-something was sitting talking with other when he had brief sudden witnessed syncope for 20 seconds. He awoke…
Watch what happens when “pericarditis” and morphine cloud your judgment
Submitted and written by Alex Bracey with edits by Pendell Meyers and Steve Smith Case A 50ish year old man with a history of CAD w/ prior LAD…
Chest pressure during exertion, evolution of inverted T-waves and Troponins. Surprise Angiogram.
I was texted this ED ECG with the words: “40-something with chest pressure during exertion.” It is unclear whether the pain…
If you had recorded an ECG during chest pain, what would it have shown?
Case A 40-something male presented to triage. He had suffered a couple bouts of typical chest pain in the last 24 hours. …
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,…