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8 Min Read

onNovember 4, 2021

PEA cardiac arrest, ROSC, and no STEMI on ECG. Randomized trials say emergent reperfusion is not indicated, right?

Submitted and written by Dr. Bobby Nicholson, with peer review by Meyers and Bracey and major edits by Smith 84 yo F with hx of CAD presents…

3 Min Read

Steve Smith

onOctober 14, 2021

A New Seizure in a Healthy 20-something

A 20-something year old who is the picture of good health presented with a new onset seizure. A witness described what sounded like a 3…

5 Min Read

Pendell Meyers

onSeptember 9, 2021

A man in his 70s with chest pain, shortness of breath, and acute huge anterior ST elevation

Written by Pendell Meyers A man in his 70s presented to the ED complaining of various symptoms including chest pain and shortness of breath.…

4 Min Read

Steve Smith

onAugust 23, 2021

Crushing Chest pain, Tachycardia, and Very Elevated Blood Pressure in a 40-something Man.

A 40-something male called 911 for 2 hours of crushing, non-radiating, chest pain at about 11 AM. He reported a similar episode…

4 Min Read

Steve Smith

onJune 21, 2021

Neck and Jaw Pain in a patient with a Pacemaker. Sgarbossa Negative. But How about the Modified Sgarbossa Criteria?

I was at home on a late Saturday evening when this first ED ECG was texted to me: Atrial and Right Ventricular Paced Rhythm (most pacing is RV…

6 Min Read

Pendell Meyers

onApril 25, 2021

A woman in her 40s with palpitations and chest pressure of unusual etiology

Submitted and written by Magnus Nossen MD from Norway, with some minor edits by Meyers and Smith A female in her 40s with no known cardiac…

3 Min Read

Steve Smith

onApril 19, 2021

This case was flagged as a false positive cath lab activation. Why? And do you agree?

An 80 – something with h/o hypertension and hyperlipidemia complained of chest pain off and on all day, then recurring acutely. He…

3 Min Read

Steve Smith

onMarch 28, 2021

Nonspecific symptoms with RBBB and New ST Elevation. Anterior STEMI, right? What does the echo show?

A 50-something male with a history of COPD and substance use disorder who presented with generalized weakness and exacerbation of chronic back…

2 Min Read

Steve Smith

onMarch 15, 2021

80-something year old with acute chest pain. 3 visits. Fascinating Ultrasound progression

An 80-something year old man with history of metastatic cancer had acute onset of chest pain and called 911. Here is his prehospital ECG: What…

3 Min Read

Steve Smith

onMarch 3, 2021

A 53 year old with chest pressure has a diagnostic EKG (EKG 1). What is it? Chest pressure resolves (EKG 2)

A 50-something male had onset of pain approximately 30 min prior to arrival and was still present on arrival. The pain was described as…

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Search Results: Hyperacute T waves

PEA cardiac arrest, ROSC, and no STEMI on ECG. Randomized trials say emergent reperfusion is not indicated, right?

A New Seizure in a Healthy 20-something

A man in his 70s with chest pain, shortness of breath, and acute huge anterior ST elevation

Crushing Chest pain, Tachycardia, and Very Elevated Blood Pressure in a 40-something Man.

Neck and Jaw Pain in a patient with a Pacemaker. Sgarbossa Negative. But How about the Modified Sgarbossa Criteria?

A woman in her 40s with palpitations and chest pressure of unusual etiology

This case was flagged as a false positive cath lab activation. Why? And do you agree?

Nonspecific symptoms with RBBB and New ST Elevation. Anterior STEMI, right? What does the echo show?

80-something year old with acute chest pain. 3 visits. Fascinating Ultrasound progression

A 53 year old with chest pressure has a diagnostic EKG (EKG 1). What is it? Chest pressure resolves (EKG 2)