Chest Pain in a 61 year old male. Inferior STEMI without inferior ST elevation.
This 61 year old has a h/o CABG 20 years prior. Onset of chest pain 1 hour prior to calling 911. Here is the prehospital ECG:…
What does this tracing show? (contributed by K. Wang)
I don’t have the clinical presentation, but the ECG is diagnostic on its own: See question and answer below What does this tracing show?…
Chest Pain in a Male in his 20’s; Inferior ST elevation: Inferior lead “early repol” diagnosed. Is it?
A 20-something male presented from an outside facility with Chest pain. Vital signs were normal. History: Onset of CP 2.5 hours prior to…
A Tough ECG, But Learn From It!
I have to tell this story from my point of view because I don’t want anyone to think that the recognition of LAD occlusion was made in…
37 yo with 1.5 hours of burning chest pain
A 37 year old with a history of DM on metformin complained of acute onset of burning chest pain. He called 911. They did an ECG but it…
Series of Prehospital ECGs Showing Reperfusion
Medics recorded this ECG at time 0 in a patient with chest pain: There are inferior hyperacute T-waves, with reciprocally inverted hyperacute…
2 hours of lecture from Sunday April 28 ECG Workshop – the Best of Smith at Best of Hennepin
This is most of the best stuff I have on subtle findings of coronary occlusion on the ECG. It starts with a 25 minute powerpoint lecture on…
First ED ECG is Wellens’ (pain free). What do you think the prehospital ECG showed (with pain)?
This male in his 40’s had been having intermittent chest pain for one week. He awoke from sleep with crushing central chest pain…
Before diagnosing STEMI, try to find a previous ECG!
A man in his 50’s complained of typical chest pain. Here is his ED ECG: There is a Q-wave in V2, with ST elevation and hyperacute…
Back pain radiating to the chest in a man in his 40’s
A man in his 40’s presented with severe back pain radiating to the chest. Here was his ECG, with pain: What is your diagnosis?…