Heartfelt Reflections: Stories of Love, Loss, and Growth

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4 Min Read

Steve Smith

onMay 10, 2021

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.…

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4 Min Read

Pendell Meyers

onMay 7, 2021

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)…

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3 Min Read

Steve Smith

onMay 4, 2021

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…

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2 Min Read

Steve Smith

onMay 3, 2021

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…

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6 Min Read

Pendell Meyers

onApril 30, 2021

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…

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2 Min Read

Steve Smith

onApril 28, 2021

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…

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6 Min Read

Pendell Meyers

onApril 25, 2021

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…

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2 Min Read

Steve Smith

onApril 21, 2021

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…

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3 Min Read

Steve Smith

onApril 19, 2021

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…

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6 Min Read

Pendell Meyers

onApril 16, 2021

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…

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Heartfelt Reflections: Stories of Love, Loss, and Growth

Typical Chest Pain: Would you activate the cath lab? Would you advocate if the interventionalist was not interested?

A man in his 30s with greater than 12 hours of chest pain

Let’s Use Aslanger’s simplified formula on this case (simplified Smith LAD occlusion/early repol formula)

See this: Occlusion/Reperfusion/Re-occlusion/Reperfusion/Re-occlusion/Reperfusion

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?

Fever, tachycardia, hypotension, hypoxia and “SVT”

A woman in her 40s with palpitations and chest pressure of unusual etiology

This is really good Prehospital, ED, and Cardiology care. Inferior de Winter’s T-waves.

This case was flagged as a false positive cath lab activation. Why? And do you agree?

A man in his 60s with diaphoresis, vomiting, and inferior STE