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…
A 40-something healthy male with transient chest squeezing
A 40-something man with Hx of treated HTN had chest “squeezing,” with SOB and diaphoresis, 10 hours prior to presentation. It…
Teach your learners: when the QRS is wide, the J-point will hide, so trace it down and copy it over!
Case submitted by Alexis Cates, written by Pendell Meyers A middle aged man with history of HTN, DM, and VSD repair at age 6, presented to the…
Unusual: Troponin Trajectory to Help Determine Ongoing/Recurrent Infarction vs. Completed Infarction.
A 40-something male with no PMH of any kind presented to urgent care on a weekend (cath team is at home) with cough starting 2…
Chest pain, pelvic and abdominal pain, hypotension, and severe ischemia on the ECG
An elderly male was lethargic at the nursing home and complained of some pelvic pain, but then also chest pain and abdominal pain. He…
Do you recognize this ECG yet?
Case contributed by Dr. David Gordon See if you can recognize this ECG without the clinical context: Sinus tachycardia Wide QRS Terminal…
What is the differential of this very unusual ECG?
Take a look at this ECG first without clinical context: = = = What do you think? = = = = = = There is sinus bradycardia with very unusual…