Is this acute STEMI? LV Aneurysm? Would you give Thrombolytics?
Recently I posted a case describing “Acuteness” on the ECG and how to assess whether it is too late for reperfusion, especially…
Middle Aged Male with Burning Chest Pain — Assess the Entire Clinical Scenario
A middle-aged male presented with “burning” mid chest pain, with radiation to bilateral shoulders (pain radiating to both shoulder is…
Poor Microvascular Reperfusion (“No Reflow”): Best Diagnosed by ECG
A previously healthy woman about 50 years old with no previous medical history or coronary risk factors presented 30 minutes after the sudden…
Chest pain in a middle-aged male
A middle-aged male presented with acute onset of typical ischemic type chest pain. Here is his initial ECG: What do you see? He had a previous…
COPD exacerbation, what do the ECG and bedside echo show?
A woman in her 60s presented with a COPD exacerbation. She also complained of some sharp chest pain with coughing. She was in moderate…
ST Elevation and a Positive Troponin: Is it Myopericarditis or STEMI?
A 51 yo male smoker with no other CV risk factors and no previous heart disease presented to a hospital without PCI capability complaining of…
5 hours of chest pain. How acute is the STEMI?
A male is his 30’s with h/o HTN presented after 6 hours of chest pain. The pain was crushing and substernal, associated with…
Look at the PVCs!!
An elderly woman presented with chest pain. She was hemodynamically stable. Here is her initial ECG: There is bigeminy. …
Friday’s post produced skeptics…..
I have been posting ECGs like this for so long that I erroneously thought everyone would see the inferior STEMI here. I was just posting…
A Male in his 60s with Chest pain. What is the ECG Diagnosis?
Here is the ECG of a man with 2 hours of chest pain. He had a history of MI with LAD stent. I cannot find his prehospital ECG, but…