Chest pain in high risk patient. Are these Hyperacute T-waves? What is going on here?
A 40-something woman with h/o obesity, hyperlipidemia, smoking, as well as cocaine and alcohol abuse presented with intermittent chest pain…
A 50-something with 5 hours of typical chest pain and Left Bundle Branch Block
This case was texted to me by one of our residency graduates, and with the outcome, so I don’t know how I would have interpreted it…
“Pericarditis” strikes again
Written by Pendell Meyers A man in his late 40s with several ACS risk factors presented with a chief complaint of chest pain. Several…
Teenager with chest pain and slightly elevated troponin. What happens then?
This is a previously healthy male teenager who was awoken by chest pain. He was seen at another hospital and found to have a…
CO poisoning. Routine ECG recorded before hyperbaric therapy….Are they related?
This patient was working on his truck in a garage without ventilation and the vehicle was running. He felt dizzy and lost consciousness. The…
A young F is hyperthermic, delirious, and dry: Fever-induced Brugada? Diphenhydramine toxicity? Tricyclic?
Case 1. A 30-something with no medical history presented with 1 day of high temperature and delirium. Her temperature was 106 degrees.…
Severe shock, obtunded, and a diagnostic prehospital ECG. Also: How did this happen?
A middle-aged woman was found down in her apartment unconscious. She was in shock with thready pulses. A prehospital ECG was recorded: Limb…
Coronary Disease and Chest pain: Is it acute inferior OMI or old inferior MI?
An elderly woman with a h/o myocardial infarction presented with 2 hours of burning substernal chest pain. Here is her ECG: Is there an OMI?…
A 50-something Australian with sudden severe epigastric and chest pain presented looking extremely ill.
A 50-something with sudden severe epigastric and chest pain presented looking extremely ill. Here is her ECG: What do you think? There is ST…
Global ST depression with ST elevation in aVR – what is the cause?
Written by Pendell Meyers An elderly patient with cardiac history presented with shortness of breath. This ECG was brought to me with concern…