See this: Occlusion/Reperfusion/Re-occlusion/Reperfusion/Re-occlusion/Reperfusion
A 60-something y.o. male presented with intermittent left-sided chest and shoulder pain that is achy in nature and lasted a few minutes or…
This patient with “NSTEMI” was not allowed to go to the cath lab. Then the ED provider obtained an emergent coronary CT angio. What do you think it showed?
Submitted by Shakita Crichlow MD, edits by Meyers A female in her 60s presented with chest pain off and on starting the day before…
Fever, tachycardia, hypotension, hypoxia and “SVT”
This 40-something presented with hypoxia, BP 60/30, pulse 195, and Temp of 40 C. He had what appeared to be SVT on the monitor. Here is his…
A woman in her 40s with palpitations and chest pressure of unusual etiology
Submitted and written by Magnus Nossen MD from Norway, with some minor edits by Meyers and Smith A female in her 40s with no known cardiac…
This is really good Prehospital, ED, and Cardiology care. Inferior de Winter’s T-waves.
A 50-something y.o. male with history of previous acute MI and stent was shoveling snow. Shortly thereafter he had the onset of…
This case was flagged as a false positive cath lab activation. Why? And do you agree?
An 80 – something with h/o hypertension and hyperlipidemia complained of chest pain off and on all day, then recurring acutely. He…
A man in his 60s with diaphoresis, vomiting, and inferior STE
Written by Pendell Meyers A man in his 60s appeared altered and diaphoretic and vomiting to a bystander, who called EMS. EMS personnel agreed…
New Paper: Accuracy of OMI ECG findings versus STEMI criteria for diagnosis of acute OMI.
Just published online today by Meyers and Smith. @PendellM This is our best and most important work ever. Another nail in the STEMI/NonSTEMI…
Getting It Right Despite the Wrong Paradigm
Written by Alex Bracey, edits by Meyers and Smith A 50 something year old male presented to the ED as a transfer from an outside hospital with…
An 80-something with weakness, cough, and CP. Should this ECG provoke a Prehospital Cath Lab activation?
An 80-something called 911 for chest pain, generalized weakness, and cough. Here is his prehospital ECG: The medics were worried about this…