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…
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…