This ECG is nearly pathognomonic. What is it? (hint: it’s not Wellens’)
I was texted this ECG: What did I say? My response: “takotusubo” Even without a history, this is the likely diagnosis. …
Chest pain, peak troponin 100,000 ng/L and this ECG on discharge: what’s the diagnosis?
Written by Jesse McLaren, with edits by Smith Usually cases are presented in chronological order the way they appear in real life. But…
A man in his 60s with chest pain and LBBB
Sent by Ali Khan MD, written by Pendell Meyers A man in his 60s with HTN, HLD, known prior LBBB, presented with episodes of chest pain…
Two patients with chest pain. Do either of them need emergent reperfusion? Both? Neither?
Written by Pendell Meyers Here is a quick comparison / quiz post. It will be easy for long time blog readers. The two ECGs below are…
Neuroprotective CPR by Keith Lurie at Florida EMS Webinar
This is leading edge cardiac arrest resuscitation. Neuroprotective CPR by Keith Lurie at Florida EMS Webinar
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Dear colleague, In collaboration with the Mayo Clinic, Washington University in St. Louis, and The EKG Guy, we have…
Unstable Angina still exists. It can be missed especially high sensitivity troponin is not used. Sometimes you can catch it on the ECG.
A 50-something woman with H/o HTN, ESRD, CAD S/p complex PCI to ostial LAD and ramus (10/2020) and CABG x3 (LIMA to LAD, SVG to…
Acute chest pain and a bizarre ECG
Written by Pendell Meyers A middle aged adult presented with acute undifferentiated chest pain. Here is his ECG at triage: What do you…
Very fast narrow complex tachycardia
A 50-something with h/o palpitations, chest pain, and EF of 40% (of unknown etiology) presented with chest pain. Blood pressure, perfusion,…
60 year old with vomiting, diarrhea, and syncope: is this Wellens? Is this type 2 MI?
Written by Jesse McLaren, with edits/comments by Smith and Grauer A 60 year-old patient with diabetes and ESRD presented with 24…