Dyspnea on Exertion and a Positive Troponin
A woman in her 50’s complained of dyspnea on exertion for two days. Her lungs were clear on exam. Her first troponin I…
Paroxysmal SVT (PSVT) that repeatedly recurs in spite of successful conversion with adenosine
An elderly male complained of dyspnea. His pulse was regular at just under 150. BP was 110/70. There was no evidence of…
45 year old with chest pain
A 45-year-old male was in his usual state of health until three hours prior to arrival, when he developed left-sided chest pressure with…
5 hours of chest pain. How acute is the STEMI?
A male is his 30’s with h/o HTN presented after 6 hours of chest pain. The pain was crushing and substernal, associated with…
Outstanding General Lecture on the ECG in Acute MI: 34 minutes by Dr. K. Wang.
ECG Manifestations of Myocardial Infarction from HQMedEd on Vimeo. cited previous videos: Ta Wave (Atrial Repolarization Wave), how it affects…
P2Y12 Inhbitors in the ED for NonSTEMI. Criticisms of the ACCOAST-ed trial of Upstream vs. Delayed Prasugrel
Rick Body had a nice piece in St. Emlyn’s about the ACCOAST-ed trial, a study recently published in the NEJM on the use of Prasugrel in…
Look at the PVCs!!
An elderly woman presented with chest pain. She was hemodynamically stable. Here is her initial ECG: There is bigeminy. …
55 year old woman with chest pain and precordial T-wave Inversions
This 55 year old woman presented with chest pain: There is sinus rhythm. There is ST depression and there are negative T-waves in V1-V4.…
Syncope and ST Segment Elevation. And another finding. How well does the computer interpretation perform?
A woman of approximately 50 years of age had been feeling weak and febrile, then had syncope. EMS recorded this ECG: Sinus…