Transient Inferior OMI, with RV OMI, missed. It became obvious on a near fatal stress test.
A middle-aged woman with a history of hypertension presented with typical chest pain. Her BP was 160/80. Here was her presenting…
Hyperkalemia in the setting of Left Bundle Branch Block
I’m sorry, but there was an error in the previous post and I had to remove it. Depending on information received, I may be able to…
Chronic Right Ventricular Hypertrophy, or Acute Right Heart Strain? The ECG Helps Make the Diagnosis.
A middle-aged, obese, non English speaking man presented as a walk-in with SOB and leg swelling. His O2 saturations were 59% on room…
Three Cases of Unstable Angina
Unstable angina consists of anginal symptoms but without a diagnostic rise and/or fall of troponin with one level above the 99% reference…
Acute Dyspnea in a Middle Aged Male
A middle aged man with several CAD risk factors presented with one week of intermittent shortness of breath and then sudden severe…
Prehospital Ventricular Fibrillation in a Young Woman. What is the Diagnosis?
An under 30 yo woman collapsed and was found in ventricular fibrillation, and was successfully defibrillated. Here is her prehospital ECG:…
Male in his 40’s with chest pressure: what is the diagnosis
This 40-some year old patient complained of chest pressure and had this ECG recorded: See comments and diagnosis below The providers were a…
Modified Sgarbossa Rule Published Online: Annals of Emergency Medicine
Link: Diagnosis of ST-Elevation Myocardial Infarction in the Presence of Left Bundle Branch Block With the ST-Elevation to S-Wave Ratio in a…
Angiography can have bleeding complications – be more sure of your STEMI diagnosis in high risk patients
An over 90 yo patient complained of 1 hour of chest pain. There was a h/o CAD with CABG. The prehospital BP was 200…
Pericarditis, or Anterior STEMI? The QRS proves it.
A young otherwise healthy man presented with 4 hours of sharp 10/10 substernal chest pain. It has been constant since then. He…