Two patients with chest pain and RBBB: do either have occlusion MI?
Written by Jesse McLaren Two patients in their 70s presented to the ED with chest pain and RBBB. Do either, both, or neither have…
If you were this patient, would you prefer to be managed with the Queen of Hearts?
Written by Pendell Meyers A man in his early sixties with no significant medical history (including a “negative cardiac workup a few…
How terrible can it be to fail to recognize OMI? To whom is OMI Obvious or Not Obvious?
This was sent to me by a reader who wishes to remain anonymous. A lady in her 60s came to the ER with chest discomfort and shortness of…
Healthy 45-year-old with chest pain: early repolarization, pericarditis or injury?
Submitted by Dr. George Mastoras (Twitter @georgemastoras), written by Jesse McLaren It’s a busy day in the ED when you’re sent another ECG to…
The Computer and Overreading Cardiologist call this completely normal. Is it?
This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech. The undergraduate is now willing to…
“The dye don’t lie” …except when it does. Angiogram Negative, or is it?
Written by Willy Frick See the fascinating discussion on X started by this post. Link below. A 40 year old woman was at home…
An elderly male with shortness of breath
A 70-something y.o. male presents to triage with shortness of breath. He reports significant chest pain at the base of his scapula on…
60 yo with chest pain: why the abnormal QRS and abnormal repolarization?
Written by Pendell Meyers A man in his 60s presented with acute chest pain and normal vital signs. Here is his triage ECG: What do you…
Serial ECGs for chest pain: at what point would you activate the cath lab?
Written by Jesse McLaren A healthy 75 year old developed 7/10 chest pain associated with diaphoresis and nausea, which began on…
Three prehospital ECGs in patients with chest pain
Written by Magnus Nossen with Edits by Grauer and Smith The ECGs in today’s case are from 3 different patients all presenting with new-onset…