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…
ST Elevation and Positive Troponin. Is it STEMI? No. And it is not even ACS.
A male in his 60s complained of constant chest pain for 12 hours. He has a h/o DM and HTN and has been off his meds, including…
Low Voltage in Precordial Leads
A patient with was resuscitated from respiratory and cardiac arrest of uncertain etiology, but because she was very difficult to ventilate…
Ischemic Chest Pain and Hypertension: Use of Adjunctive Anti-ischemic Therapy
A middle aged male with several CAD risks has had several months of exertional angina relieved by rest and nitro. He had the onset of…
Hyperacute T-waves? Anterior STEMI? No, LVH with PseudoSTEMI pattern!
A woman in her 30’s with h/o HTN presented with atypical chest pain after a stressful event. Here is her ED ECG: There is sinus…