The ECG must be recorded at the right time, or the Occlusion (OMI) will be missed.
This was sent by one of our faculty, Steven Souchtchenko, who trained under me and works at another hospital most of the time, and with us at…
Acute chest pain and a difficult ECG
Written by Pendell Meyers A man in his late 40s with several CAD risk factors presented with acute chest pain. He had several episodes lasting…
ST elevation after gunshot to the chest
Submitted and written by Bobby Nicholson MD, peer reviewed by Meyers, Grauer, McLaren, and Smith A young man suffered multiple gunshot wounds.…
Chest pain, trop >50,000 but only 30% LAD stenosis on angiogram: what’s the diagnosis?
Written by Jesse McLaren, with comments by Grauer A 60 year old had two hours of exertional chest pain, nausea and diaphoresis, and called…
Back to the basics. An elderly man with chest pain, no STEMI criteria, and troponin within normal limits. What does his ECG mean?
Written by Pendell Meyers An elderly man with history of CAD presented to the ED with acute chest tightness and diaphoresis beginning 30…
Quiz post – which of these, if any, are OMI? What is the South African Flag Sign? Will you activate the cath lab? Can you tell the difference on ECG?
Written by Pendell Meyers, additions and edits by Grauer, Smith, McLaren Below we have 5 cases of adults (ranging from 40-70 years old)…
Why is there inferior ST elevation, and would you get posterior leads?
Written by Jesse McLaren, with comments by Smith and Grauer A 75 year-old presented with 8 hours of epigastric pain and one episode of…
A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis “NSTEMI”. This happens far too often.
Submitted by Anonymous MD, edits by Meyers A man in his 60s with past medical history of multiple sclerosis and hypertension was brought in by…
A man in his 50s with acute chest pain and history of prior MI
Written by Pendell Meyers A man in his 50s with prior history of anterior MI with LAD stent presented with acute chest pain similar but more…
A woman in her 30s with sudden chest pain, nausea, and diaphoresis. Was her cardiology management appropriate?
Case written and submitted by Brandon Fetterolf MD, edits by Meyers. = = = A woman in her early 30s with multiple autoimmune disorders…