Is this acute coronary occlusion? Simple ACS? Where is the culprit lesion?
This was sent by Brandon Stein. This patient presented with chest pain: What do you think? There is “inferior” ST…
A middle-aged woman with chest pain and a “normal” ECG in triage
This was sent to me by a former resident from a community hospital: A middle-aged woman complained of chest pain and was seen in triage. She…
Anterior ST Elevation with Elevated Troponin, but with low T/ST ratio, 2 Cases
Case 1 This case was sent by Michael Masias (EMCurious, Twitter handle: @EMedCurious), an ultrasound fellow in the Department of Emergency…
How can you persuade your cardiologist to take a Non-STEMI patient to the cath lab emergently?
This case was sent by Joseph Ryan (@DocJoseph08), chief resident from Corpus Christi’s EM residency program. This…
12 Example Cases of Use of 3- and 4-variable formulas, plus Simplified Formula, to differentiate normal STE from subtle LAD occlusion
Here are 12 Example Cases using the 3- and 4-variable formulas, which help to distinguish normal ST elevation in leads V2-V4 from that of…
A Middle-Aged Man with crescendo angina
A middle-aged male with several comorbidities including DM presented with chest pain. It had been on and off all day, then constant for…
A male in his 60s with chest pain
Case sent in by Alex Bracey, written by Pendell Meyers, edited by Smith: A male in his 60s woke up from sleep with chest pain radiating to the…
Test almost all of your most important ECG rhythm interpretation skills with this case.
Sent by Anonymous, written by Meyers, edits by Smith: A female in her 70s with history of HTN woke up around 2am with severe shortness of…
A Very Elderly Male with a Fall and no Chest Pain
A very elderly man fell and injured his face. There is always the possibility of syncope as the etiology of a fall, especially in an…
Bizarre T-wave Inversions in a Patient without Chest Pain
This was sent by a recent ultrasound fellow, asking for my ECG diagnosis. He stated that it is “an acute change from previous” in…