Chest pressure and T-wave inversions. Not what you might think.
A 40-something male had been in the ED for many hours for altered mental status due to alcohol, when he became more alert and complained of…
35-year old with Palpitations and a Very Complicated Rhythm
=================================== MY Comment by KEN GRAUER, MD (8/17/2020): =================================== The patient whose…
Chest discomfort, Sinus Tachycardia, Q-waves, ST Elevation, and Intermittent Wide Complex Tachycardia. Activate the Cath Lab?
This ECG was texted to me with no other information: Computer Diagnosis: SINUS TACHYCARDIA INCOMPLETE RIGHT BUNDLE BRANCH BLOCK [90+ ms QRS…
Management of MI can be similar to stroke: Use CT angiogram. Don’t depend only on STE on ECG for reperfusion?
This new article from the VERDICT trial may help to change the MI paradigm to OMI-NOMI. Coronary CT Angiography in Patients With…
A middle aged female with “heartburn” and a “normal ECG” per the computer
This is a re-posting of a Tweet by Robert Jones (@RJonesSonoEM), reproduced with permission, written by Pendell Meyers A middle aged female…
A man in his 40s with chest pain reproducible with palpation
Written by Pendell Meyers, submitted by George Konstantinou A man in his early 40s with history of smoking and hypertension presented to the…
Computer and transferring physician say “normal.” What do you think?
This was sent by Guillaume Debaty, from the Grenoble Region of France. He has done a lot of great work on cardiac arrest, including as…
OMI-NOMI paradigm established as better than STEMI-NSTEMI with new article
Data: The OMI-NOMI paradigm has been established as better than STEMI-NSTEMI — as per new article by Emre Aslanger (with some help from…
A Woman with New Dyspnea. Is the extreme left axis deviation, with negative T-wave in lead III, suggestive of RV strain?
=================================== MY Comment by KEN GRAUER, MD (7/28/2020): =================================== The ECG…
Prehospital ECG of a 50-something male with Syncope and Chest Pain
This case was sent by an excellent medic: A 50-something yo male started to chop wood when he experienced a short syncopal episode followed by…