A Middle Aged Male diagnosed with Gastroesophageal Reflux
This middle aged male with h/o GERD but also h/o stents presented to the ED with chest pain. He had been at a clinic that day where he…
See what happens when the consultant is “Not convinced of STEMI”
Sent by Arjun V, written by Pendell Meyers, edits by Smith A man in his early 40s with history of HTN and obesity suffered sudden out of…
Instant easy save if you understand OMI, but incredibly dangerous if you only know STEMI. Readers of this blog will instantly understand this and save lives!
Written by Pendell Meyers A man in his 60s presented with 1 hour of acute chest pain. Vitals were within normal limits. Here is his…
The ECG must be recorded at the right time, or the Occlusion (OMI) will be missed.
This was sent by one of our faculty, Steven Souchtchenko, who trained under me and works at another hospital most of the time, and with us at…
All data suggest unstable angina, but the angiogram is normal. Ken Grauer on stress testing.
A 50-something woman who has a gastric ulcer was experiencing epigastric pain for which she decided to come to the ED. Then,…
When Normal is only Pseudo-Normal, it can deceive the caregivers.
An Aussie friend down under sent me this case. A 70-something male presented with sharp stabbing central CP. Here is the initial…
Acute chest pain and a difficult ECG
Written by Pendell Meyers A man in his late 40s with several CAD risk factors presented with acute chest pain. He had several episodes lasting…
Acute Chest pain with LBBB. What is going on?
This history and ECG were texted to me from a far away ED on a Friday night: “Very elderly make with history of coronary disease on an…
LVH and Anterior ST Elevation: is it OMI and would you activate the cath lab?
Written by Jesse McLaren (@ECGCases), with comments by Smith and Grauer A 50 year old presented with chest pain radiating to the…