What are these ST elevations, ST depressions, and tall T waves diagnostic of?
Written by Pendell Meyers Let’s see this presentation ECG without any context first (no baseline ECG was available) What do you…
Typical Chest Pain: Would you activate the cath lab? Would you advocate if the interventionalist was not interested?
A 50-something woman complained of acute chest pain radiating to the left arm, onset while driving. It would briefly improve with NTG.…
A man in his 30s with greater than 12 hours of chest pain
Written by Bobby Nicholson MD, with edits by Meyers A man in his early 30s presented at 7:35am to the ED with chest pain (7/10)…
Let’s Use Aslanger’s simplified formula on this case (simplified Smith LAD occlusion/early repol formula)
This was posted in August 2019: Acute Chest pain in a 50-something, and a “Normal” ECG Chris Mondie of…
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…