Is this new LAD occlusion with ST Elevation superimposed on old QS-wave MI?
A middle-aged male with history of anterior STEMI complicated by prolonged cardiac arrest with near miraculous ROSC, who has an ICD,…
A man in his sixties with chest pain at midnight with undetectable troponin
Written by Pendell Meyers A male in his 60s with no known past medical history presented at midnight with chest pain over the past 3 hours.…
A man in his sixties with chest pain at midnight with undetectable troponin
Written by Pendell Meyers A male in his 60s with no known past medical history presented at midnight with chest pain over the past 3 hours.…
A 50-something male with acute chest pain
A 50 y.o. male was sitting at a work conference when he began having substernal chest pain with diaphoresis. He had a history of…
Doctor, should we activate the hospital’s “STEMI alert”?
Written by Pendell Meyers I received this prehospital ECG (we receive prehospital ECGs by telemetry from EMS in a large area around our…
How long would you like to wait for your Occlusion MI to show a STEMI? Sometimes serial ECGs minimizes the delay.
Written by Pendell Meyers An elderly woman presented with acute onset chest pain and shortness of breath. EMS showed us their ECG on arrival…
The delay between OMI and STEMI claims yet another patient’s anterior wall
Written by Pendell Meyers with edits by Steve Smith An elderly woman with HTN presented with L sided chest pain, intermittent over the past…
Three EKGs shown to me – which if any need emergent reperfusion?
Written by Pendell Meyers We commonly get feedback from readers who are skeptical that we can pick out the subtle NSTEMI occlusions from…
Chest pain resolved, and a “Normal” ED ECG
A previously healthy middle-aged male presented shortly after the acute onset of chest pain very shortly before calling 911. On arrival, he…
What will you do for this patient transferred to you who is now asymptomatic?
A middle-aged woman with history of hypertension presented to another hospital approximately 2 hours after onset of chest pain and shortness…