Bradycardia, Crushing Chest pain, and Pulseless VT Arrest
A 50-something woman with h/o hypertension and hyperaldostonism presented with severe crushing chest pain and bradycardia. EMS found the…
A 40-something male complains of worrisome chest pain and possible “fever”
This was sent by an EM colleague at Highland Hospital in Oakland. His name is “Deep” A 40-something male complained of…
Acute coronary occlusion seen in paced *and* non-paced ECGs
This was written by Brooks Walsh @BrooksWalsh, an emergency physician in Connecticut. A paced ECG The family of a very elderly person called…
A 70-Something Woman with a Very Wide Tachycardia
=================================== MY Comment by KEN GRAUER, MD (10/17/2020): =================================== Today’s…
Dynamic ST Elevation
A 70-something male with 3 CAD risk factors developed intermittent left sided chest discomfort 29 hours prior. It began again 2 hours…
“It isn’t a STEMI,” so cath lab refusal (again). Were they right?
Sent by Anonymous, written by Pendell Meyers An elderly female called EMS for acute epigastric pain. EMS arrived and recorded this ECG on the…
Interventionalist at the Receiving Hospital: “No STEMI, no cath. I do not accept the transfer.”
Are Some Cardiologists Really Limited by Strict Adherence to STEMI millimeter criteria? Yes. We don’t know how many though. I was texted…
A 60-something Woman with Chest Pain and a Wide QRS
=================================== MY Comment by KEN GRAUER, MD (9/17/2020): =================================== Today’s patient is…
3 days of shoulder and chest pain, and now cardiogenic shock
I was texted these ECGs. “Bad chest pressure with severe left shoulder pain 3 nights ago. Then SOB and nausea the next day. …
Dynamic ST Change in a mid-50s Man with Chest Pain
=================================== MY Comment by KEN GRAUER, MD (8/22/2020): =================================== The patient is a…