A man in his 50s with acute chest pain and diffuse ST depression
Submitted by Alex Bracey, with edits by Meyers and Smith A man in his 50s with history of type B aortic dissection with prior TEVAR…
80-something year old with acute chest pain. 3 visits. Fascinating Ultrasound progression
An 80-something year old man with history of metastatic cancer had acute onset of chest pain and called 911. Here is his prehospital ECG: What…
Trust a computer read of “Normal ECG” at your peril!
This case was contributed by Brooks Walsh, an emergency physician in Connecticut. Don’t trust the “Normal ECG” It’s…
De Winter’s T-waves are Not a Stable ECG condition. Upright T-waves in Posterior OMI are Distinct from de Winter’s waves.
This was just published in JAMA Internal Medicine: The de Winter Electrocardiogram Pattern Evolving From Hyperacute T Waves It reminded me…
A 53 year old with chest pressure has a diagnostic EKG (EKG 1). What is it? Chest pressure resolves (EKG 2)
A 50-something male had onset of pain approximately 30 min prior to arrival and was still present on arrival. The pain was described as…
Chest pain with ventricular paced rhythm – will you be able to rise above the STEMI paradigm and figure out what to do?
Submitted by Marie Wofford MD and Mark Kastner MD, edits by Smith and Meyers An 86 year old with prior history of CAD and PCI, aortic…
When there is less than 1 mm of ST depression, can you make the diagnosis of posterior OMI?
Submitted and written by Alex Bracey MD, edits by Smith and Meyers I went to see the next patient who had presented to the Emergency…
Saw this ECG while reading through a stack. Lots here: myocardial stunning, MRI viability, P2Y12 inhibitors and CABG.
I had just finished passing the shift off to my partner and the next shift of residents. It was 11:30 PM. I turned to…
Sudden CP and SOB with Inferior ST Elevation and in STE in V1. Is it inferior and RV OMI?
A 60-something had been having chest “soreness” on and off for one month when she presented with sudden chest discomfort and…
A 30-something with inferior ST Elevation. OMI? Pericarditis? Normal Variant ST Elevation?
This ECG was texted to me with the information that it was recorded on a 30-something male who presented to the ED with bilateral chest…