Will this case be flagged for Quality Improvement in the STEMI/NSTEMI Paradigm?
Written by Jesse McLaren A 40 year old presented with 90 minutes of midsternal chest pressure, radiating to bilateral arms, with shortness of…
What is Wellens’ syndrome? And what conditions mimic it?
A 30 year old African American Male presented to the ED with chest pain that occurred the day before. It had been 6-7/10 in intensity…
What is Wellens’ syndrome? And what conditions mimic it?
A 30 year old African American Male presented to the ED with chest pain that occurred the day before. It had been 6-7/10 in intensity…
Everyone sees ST depression, but what does it mean?
Written by Willy Frick A man in his 70s with hypertension and type 2 diabetes mellitus presented with chest pain which awoke him from…
Even in retrospect, no one could see it.
This was sent to me by a former resident who is outstanding at reading ECGs for OMI. “Hi Steve wonder what you think of this ecg in a 60…
Can you localize the culprit lesion on angiogram without taking ECG findings into account?
Written by Willy Frick A woman in her 60s with very severe hyperlipidemia (LDL >200 mg/dL) presented with acute onset chest pain. Her…
When ACS care is very delayed, “STEMI metrics” can be perfect. And how specific is Queen of Hearts?
Written by Pendell Meyers, sent by anonymous, with additions by Smith A man in his 40s had acute chest pain and called EMS. EMS arrived…
Is it possible that this patient with acute chest pain and this ECG does not need emergent intervention?
Case submitted by Andrew Grimes, Advanced Care paramedic, with additions from Jesse McLaren and Smith An 84-year-old male with a…
Normal ACS care, everything by the book! But normal ACS care could be much better. This post explains everything.
Written by Willy Frick A man in his 60s with a history of hypertension and 40 pack-year history presented to the ER with 1 day of…