A man in his early 40s with chest pain: STD in V1-V4, but posterior lead are negative
Written by Pendell Meyers A man in his early 40s with hyperlipidemia and family history of MI presented at 545 AM with acute onset substernal…
What to do when Atrial Fib with RVR will not Electrically Cardiovert. And how do you measure the QT in Atrial Fib?
This middle-aged male patient has a history of paroxysmal atrial fibrillation, and on this day of admission had sudden onset of palpitations…
A 50-something with cocaine chest pain and ST Elevation in V1 – V3
This case was expertly managed by Aaron Robinson (https://twitter.com/ARobinsonMD), one of our Hennepin EMS fellows, and by Danika Evans, a…
A 60 year old with chest pain
I saw this in a stack of ECGs and recognized it immediately. What do you think? There is ST depression in the context of a normal…
Another diagnostic ECG of a potentially deadly condition
Written by Pendell Meyers A middle aged woman with no significant past medical history presented with epigastric abdominal pain with…
Chest pain, ST Elevation, and tachycardia in a 40-something woman
A prehospital cath lab activation for STEMI came through with the information that the 40-something woman had chest pain and a pulse of 140.…
Wellens’ syndrome: to stent or not? IVUS negative, Symptoms persist, Stress Testing, Instantaneous Wave Free Ratio, and Fractional Flow Reserve.
A 55 y.o. male with no cardiac PMHX presented for 2 weeks of exertional chest pain, worsened on the day prior to presentation. On the…
Acute Chest pain which then resolves spontaneously
A 50-something woman presented with sudden onset of left sided chest pain while driving, radiating down left arm, in addition to feeling…
Typical chest pain and hypotension, Activate the Cath lab?
I was texted this ECG with the info that the patient “clinically looked like he was having a myocardial infarction”: What do you…
A 47-year-old man with abdominal pain and heart rates approaching 300 bpm
Written by Pendell Meyers A 47-year-old man with known WPW syndrome presented to the ED complaining of left abdominal pain, diarrhea,…