Recent MI at another facility. Now back in the ER with chest pain

7 Min Read

onJune 2, 2026

An ECG Finding Every Doctor Should Recognize — It’s More Common than You Think!

Post by Dr. Mark Hellerman. = = = Two octogenarians with known extensive CAD presented to our ED the same afternoon with chest discomfort. In…

lead misplacement

8 Min Read

Hans Helseth

onMay 29, 2026

The Right Decision for the Wrong Reason?

An 85-year-old man with a history of MI with stents woke up feeling unwell. He reported that the original sensation was difficult to describe,…

6 Min Read

Jesse McLaren

onMay 25, 2026

65 year old with chest pain + new Left Bundle Branch Block: is this acute coronary occlusion?

by Jesse McLaren A 65 year old with a history of COPD, coronary artery disease, reflux and cocaine use presented with chest tightness and…

9 Min Read

Willy Frick

onMay 22, 2026

STEMI: An Impossible Standard. NSTEMI: a worthless diagnosis.

A man in his mid 50s was playing soccer and collapsed. Bystanders initiated CPR and delivered 3 AED-advised shocks. The patient was intubated…

7 Min Read

Jesse McLaren

onDecember 1, 2024

Hyperacute T wave or not: do any of these 4 ‘STEMI’ ECGs have Occlusion MI?

Written by Jesse McLaren, with edits from Meyers Four patients presented with chest pain or shortness of breath, and ECGs labeled…

ST Segment Monitoring-continuous

9 Min Read

Steve Smith

onDecember 3, 2024

What can you find with continuous ST monitoring in the ED?

This was written by one of our fine residents, who will soon be an EMS fellow: Michael Perlmutter Case A mid-50s male came to the ED with a…

4 Min Read

Steve Smith

onDecember 6, 2024

Are there hyperacute T-waves? And how can we know?

A 50-something man presented with worsening severe exertional chest pain which was just resolving as he had an ECG recorded in triage. Time…

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Recent MI at another facility. Now back in the ER with chest pain

What makes a T-wave Hyperacute? And: 30 Examples of Hyperacute T-waves, 10 in each of 3 myocardial territories.