This ECG was interpreted as completely NORMAL by the computer: What about it is THE critical finding??
A 40 something otherwise healthy man presented with substernal chest pain. It had occurred once 3 days prior and resolved without any…
Which ACS had more myocardial damage? The one that meets STEMI criteria, or the one with the ‘normal’ ECG?
This case comes from Jesse McLaren, with some contribution by Smith. Dr McLaren (@https://twitter.com/ECGcases), is an Emergency…
Even when the story is obvious, with intractable pain, the STEMI paradigm can cause preventable delays
Written by Pendell Meyers A man in his early 60s presented with acute chest pain rated 10/10 with associated nausea and vomiting with…
Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping
A middle aged male presented after onset, approximately 50 minutes prior, of constant crushing 10/10 substernal chest pain, radiating into…
A woman in her 60s with syncope and vomiting. Does she need a pacemaker?
Written by Pendell Meyers with some edits by Steve Smith A woman in her 60s on chemotherapy presented to the Emergency Department for a…
A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him?
Written by Pendell Meyers A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up…
Chest pain in a 30-something: Is it Normal variant STE or OMI? Get the prior ECG, and don’t trust Point of Care troponin assays!
Submitted by Benjamin Garbus, MD with edits by Bracey, Meyers, and Smith A man in his early 30s presented to the ED with chest pain…
A man in his 50s with anterior ST elevation and a “tall T wave in V1”
Written by Pendell Meyers Take a look at this ECG from a 57 yo M without any context first: What do you think? Imagine he presented with chest…
A 60 year old man with chest pain — many fascinating aspects to this ECG
Written and submitted by Lucas Goss MD, peer reviewed by Smith, Meyers, Bracey A 60-year old man with history of CAD and prior stents to the…
A 52 year old female with chest pain
Written by Pendell Meyers, edits by Steve Smith A 52 year old female with history of hypothyroidism and smoking presented to the ED with an…