False cath lab activation or false cancellation?
Written by Jesse McLaren A 40 year old developed sudden chest pain radiating to the jaw, with diaphoresis and vomiting. What do you think?…
Memorize the squiggly lines – it helps save lives.
Sent by Logan Stark, MD, written by Pendell Meyers Dr. Stark sent me this ECG below and said “Curious on your thoughts without…
A 40-something man with very elevated blood pressure and acute severe chest pain
This 40-something male whose only medical history was hypertension presented with acute chest pain. A 12-lead ECG was immediately recorded…
A man in his 50s with “no reciprocal ST depression” and “diffuse” ST elevation. What does diffuse actually mean?
Written by Pendell Meyers EMS called in while I was on shift and asked me to review an ECG of a man in his 50s with acute chest pain and…
This ECG was interpreted as completely NORMAL by the computer: What about it is THE critical finding??
A 40 something otherwise healthy man presented with substernal chest pain. It had occurred once 3 days prior and resolved without any…
Which ACS had more myocardial damage? The one that meets STEMI criteria, or the one with the ‘normal’ ECG?
This case comes from Jesse McLaren, with some contribution by Smith. Dr McLaren (@https://twitter.com/ECGcases), is an Emergency…
Even when the story is obvious, with intractable pain, the STEMI paradigm can cause preventable delays
Written by Pendell Meyers A man in his early 60s presented with acute chest pain rated 10/10 with associated nausea and vomiting with…
Any ST depression in V2 and V3 is posterior OMI until proven otherwise, especially if downsloping
A middle aged male presented after onset, approximately 50 minutes prior, of constant crushing 10/10 substernal chest pain, radiating into…
A woman in her 60s with syncope and vomiting. Does she need a pacemaker?
Written by Pendell Meyers with some edits by Steve Smith A woman in her 60s on chemotherapy presented to the Emergency Department for a…
A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him?
Written by Pendell Meyers A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up…