A female in her 60s who was lucky to get expert ECG interpretation
Submitted and written by Alex Bracey, with edits by Pendell Meyers and Steve Smith: I was walking through the critical care section of the ED…
Our patients deserve better than the “STEMI criteria”
Written by Pendell Meyers, of the Stony Brook class of 2019, with edits by Steve Smith Two Cases Imagine that two patients present…
Incredible case of evolution of terminal QRS distortion, then resolution after thrombolytics
For more on Terminal QRS distortion, see these posts: Best Explanation of Terminal QRS Distortion in Diagnosis of Electrocardiographically…
Prehospital ECG looks very suspicious to the paramedic
This was sent by an anonymous paramedic. “One of the paramedics at my work approached me the other day and asked for my opinion on two…
What is lurking underneath this new right bundle branch block?
Written by Pendell Meyers, edits by Smith: Case A 72 year old female with hypertension and COPD presented with sudden shortness of breath and…
It is not a STEMI; it is an opportunity to save myocardium!
I was teaching about subtle coronary occlusion at EKG conference to our residents a couple days ago. About coronary occlusion that does…
A male in his 50s with chest pain. What is your interpretation?
Written by Pendell Meyers, edits by Smith: A male in his 50s with no significant past medical history complained of several episodes of chest…
Is this acute coronary occlusion? Simple ACS? Where is the culprit lesion?
This was sent by Brandon Stein. This patient presented with chest pain: What do you think? There is “inferior” ST…
Anterior ST Elevation with Elevated Troponin, but with low T/ST ratio, 2 Cases
Case 1 This case was sent by Michael Masias (EMCurious, Twitter handle: @EMedCurious), an ultrasound fellow in the Department of Emergency…
How can you persuade your cardiologist to take a Non-STEMI patient to the cath lab emergently?
This case was sent by Joseph Ryan (@DocJoseph08), chief resident from Corpus Christi’s EM residency program. This…