Is it Wellens’ Syndrome?
A middle-aged African American man with history of tobacco use, HTN, and chronic renal disease, but no known coronary disease, presented with…
What does this ECG represent in the setting of “negative” troponins?
This was written by Mark Hellerman, a Cardiology Fellow at Stony Brook. He has a bunch of great videos on OMI and other cardiology topics…
Inferior ST Elevation and Hyperacute T-waves, but Patient is Pain Free. What is going on?
A 60-something female presented with episodes of chest pain for the previous 2 days that lasted 20 to 30 minutes each. On the day of…
Chest pain, a ‘normal’ ECG, a ‘normal trop’, and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.
Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chest…
Two cases of ST Elevation with Terminal T-wave Inversion – do either, neither, or both need reperfusion?
Written by Pendell Meyers with edits by Steve Smith I was sent these 2 ECGs with no clinical information other than chest pain: Do either or…
T-wave inversions and dynamic ST elevation
Written by Pendell Meyers, with edits by Steve Smith I received a text message with no clinical information other than the following ECG, with…
2 Cases of Resolved Chest Pain with Dynamic Terminal T-wave Inversion
Here are two different series of ECGs in 2 different patients with chest tightness/discomfort that resolved. Case 1 A 20-something with chest…
Anterior STEMI?
The patient presents to the emergency Department with complaints of substernal left-sided chest pain present for 4 days but worse in the last…
Benign T-wave Inversion: view video or read text
Benign T-wave Inversion from HQMedEd on Vimeo. There are many etiologies of T-wave inversion. We are most worried about ischemic T-wave…
Pseudonormalization of Inferior T-waves
In a few days I will post a twist on pseudonormalization, but wanted to first post this classic case. This 49 year old male presented after an…