Chest pain and anterior ST depression. What’s the cause(s)?
Written by Jesse McLaren, with edits from Smith and Grauer A 60 year old with no past medical history presented with two hours of chest pain…
Acute chest pain: “Activate the Cath Lab!!!!!” Or not?
I was called to the resuscitation room to manage a STEMI patient. I walked into the resuscitation area and was handed this ECG: What did I…
Are all of these ST-T findings due to LVH?
I was texted this ECG: What do you think? What did I text back? The ECG is diagnostic of acute inferior-posterior…
Two patients with chest pain. Do either of them need emergent reperfusion? Both? Neither?
Written by Pendell Meyers Here is a quick comparison / quiz post. It will be easy for long time blog readers. The two ECGs below are…
Acute chest pain and a bizarre ECG
Written by Pendell Meyers A middle aged adult presented with acute undifferentiated chest pain. Here is his ECG at triage: What do you…
60 year old with vomiting, diarrhea, and syncope: is this Wellens? Is this type 2 MI?
Written by Jesse McLaren, with edits/comments by Smith and Grauer A 60 year-old patient with diabetes and ESRD presented with 24…
A man in his 40s with multitrauma from motor vehicle collision
Submitted and written by Andrew Yde MD, peer reviewed by Meyers, Grauer, Smith A man in his 40s presented after motor vehicle collision in…
A man in his 60s with dizziness, nausea, chest pain, and LBBB
Submitted and written by Parker Hambright MD, peer reviewed by Meyers, McLaren, Grauer, Smith A man in his late 60s called EMS for acute…
See what happens when the consultant is “Not convinced of STEMI”
Sent by Arjun V, written by Pendell Meyers, edits by Smith A man in his early 40s with history of HTN and obesity suffered sudden out of…
Why do we NOT name Occlusion MI (OMI) after an EKG finding? (In contrast to STEMI, which is named after ST Elevation)
A 40-something male with no previous cardiac disease presented with chest pain. Here is his ECG: There is no clear evidence of OMI or…