A 60 yo presented to the ED with chest pain, ECG findings missed, then went into V-Fib cardiac arrest
A 60-year-old man presented to the ED with chest pain and this ECG was recorded. Computer read this as normal. What’s the diagnosis?…
An elderly male with acute chest pain
Written by Magnus Nossen The patient in today’s case is a 90-something male with a medical history of prostate cancer and chronic AFib,…
An 80-year-old with chest pain and a wide QRS. Should you give thrombolytics?
Written by Magnus Nossen Today’s patient is an 80-year-old man with stage 5 chronic kidney disease (CKD), but not yet receiving…
Chest pain with acute RBBB: just another NSTEMI?
Written by Jesse McLaren, with comments from Smith A 75 year old with a previous MI and ischemic cardiomyopathy presented with 6/10 chest and…
Chest pain, this ECG, and an undetectable troponin after 6 hours of pain
These ECGs were texted to me by one of our former ultrasound fellows, Will Smoot A Middle-aged male presented with acute chest pain. This…
87-year-old with chest pain
Written by Magnus Nossen. This prehospital ECG was obtained form an elderly male with new onset chest pain. The pain was substernal 7/10,…
Why did it take 70 years for this to cause trouble? And what are the markers of risk in this ECG?
This patient was admitted after experiencing syncope while seated. What is the primary abnormality on this ECG, and what additional, more…
75 year old with acute chest pain: 6 bad reasons not to cath.
Written by Jesse McLaren, edits by Smith A 75 year old without cardiac history presented to the emergency department with 3 hours of acute…
A subtle ECG and a subtle angiogram
Written by Willy Frick A man in his early 40s with no past medical history experienced acute onset crushing chest pain and dyspnea. The chest…
The diagnosis is NSTEMI, a worthless diagnosis which harms patients.
Written by Magnus Nossen, with many comments by Smith A 50-something male with a medical hx of type I diabetes and hypertension…