Is this ST depression due to “lateral ischemia”?
This patient who presented with acute heart failure has a history of heart failure and atrial fibrillation: This was interpreted as…
60-something with 2 days of intermittent epigastric pain. Why does the cardiologist disagree?
One of our residents who just graduated 3 months ago texted me this ECG: “Hey Steve, would be grateful for any thoughts on this…
What could this rhythm be? And what is going on after it breaks?
Written by Pendell Meyers, edits by Steve Smith A man in his 30s with no prior medical history presented with palpitations. His vitals and…
Do you understand these T-wave inversions?
Case submitted and written by Alex Bracey, with edits by Pendell Meyers A man in his 50s without prior medical history was sent to the…
A 40-Something male with a “Seizure,” Hypotension, and Bradycardia
This is by one of our outstanding 3rd year residents, Aaron Robinson, with some edits and comments by Smith EMS responded to a reported…
Shark Fin morphology recognized only by EM physician
Case submitted by Alex Bracey, Written by Alex Bracey and Pendell Meyers A man in his 70s complained of acute chest pain followed by witnessed…
Look at this ST Depression
A healthy 30-something presented with 2 days of chest heaviness. He had some risk factors for pulmonary embolism, but none for ACS.…
A man in his 70s with chest pain during a bike ride
Case written and submitted by Ryan Barnicle MD, with edits by Pendell Meyers While vacationing on one of the islands off the northeast coast,…
Chest pain with NonDiagnostic ECG but Diagnostic CT Scan
An elderly woman presented with chest pain that radiated to the back for several hours. Here is here initial ECG: There is only a nonspecific…
A 50-something woman with chest pain, BP 230/120, and LBBB with 7 mm ST Elevation
A 50-something woman with history of CHF of unknown etiology, and of HTN, presented for evaluation of chest pressure. Her BP was 223/125, Sp02…