Should we activate the cath lab? A Quiz on 5 Cases.
Imagine you just started your ED shift. It’s a busy Friday afternoon. Triage is backed up, and 10 minutes into your shift one of the ED…
What is the infarct artery? What does the post PCI ECG show? What does the convalescent ECG show?
What is the infarct artery? I usually don’t ask this question, as it is rarely relevant to the decision to activate the cath…
Chest discomfort and a dilated right ventricle. What’s going on?
Written by Magnus Nossen MD, peer reviewed and edits by Smith, Meyers, Grauer A 60 something previously healthy female smoker sought medical…
Judge for yourself the management of this patient with “NSTEMI, multivessel disease”
Sent by anonymous, edited by Pendell Meyers A man in his 50s with history only of hypertension presented with acute chest pain that…
50 year-old in remote rural community with chest pain and ‘normal’ ECG
Submitted by anonymous, edited by Jesse McLaren The first person “I” and “me” is this anonymous sender. A 50…
A woman in her 70s with chest pain
Case sent by Logan Stark MD, written by Pendell Meyers A woman in her 70s presented with acute chest pain. It started 10 hours prior to…
A Patient with Vertigo
This patient presented with vertigo and had an ECG recorded What do you think? I saw this and was worried about inferior OMI due to some…
A man with chest pain off and on for two days, and “No STEMI” at triage.
Written by Kaley El-Arab MD, edits by Pendell Meyers and Stephen Smith A 61-year-old male with hypertension and hyperlipidemia presented…
Two ECGs texted to me in the same hour. What would you recommend?
Written by Pendell Meyers Both of these cases were sent to me with no information other than adults with acute chest pain. What would be your…
A 50-something with acute chest pain
A 50-something presented with acute chest pain. Here is her ED ECG. It was texted to me while I was out and about. He wrote:…