Patient is informed of her husband’s death: is it OMI or it stress cardiomyopathy?
Written by Willy Frick Disclaimer at the outset: Some aspects of this case are not completely clear to me, and approach being unknowable.…
After seeing this ECG, are there any medications you would consider giving?
Written by Willy Frick A man in his 50s with COPD presented with dizziness and hypotension. He had worked overnight the night before and…
What factor determines final diagnosis of STEMI vs. NSTEMI? Is it ST Elevation? Occlusion? or Something else? What?
The answer is at the bottom, and illustrated by this case. Written by Willy Frick A man in his mid 30s with type 1 diabetes presented…
Another MUST know ECG, and why its notoriety annoys Dr. Smith
Written by Magnus Nossen The ECG below was obtained from 50-something male with a history of hypertension and tobacco use. The patient…
A 34 yo Man with chest pain and Zero ST Elevation
Written by Hans Helseth A 34 year old man with no known medical history presented to the ED after an hour of chest pain. He described the pain…
Should we wait for troponin when the ECG does not show “diagnostic” ST Elevation?
Written by Willy Frick A 52 year old man with hypertension, dyslipidemia, and seropositive rheumatoid arthritis (a risk factor for CAD)…
Acute chest pain with LBBB and obvious OMI, worsening on serial ECGs, but repeatedly missed by physicians and Marquette 12SL
This was written by Hans Helseth. He just graduated from college. He has no medical training, but he has read this blog for years. He is an…
An elderly woman with acute chest pain — real or fake ST Elevation?
Written by Pendell Meyers An elderly female called EMS with acute chest pain. Her vitals were within normal limits, and here is her EMS…
Prehospital Cath Lab Activation. What happened when the medics and patient arrived at this Academic ED?
This was texted to me by a paramedic while I was out running one day: “54 yo male chest pain started at 1pm. History of diabetes type II…
What does a final diagnosis of STEMI vs. NSTEMI depend upon?
Written by Pendell Meyers, few edits by Smith A woman in her 70s was woken from sleep by midsternal chest pain radiating to left arm with…