What does this ECG recorded 4 days prior (in clinic) tell us about the ECGs in the ED?
Submitted by Evan (Kuan-Yu) Lin, edits by Willy Frick This ECG had been recorded in cardiology clinic: What do you think? Here is the case: An…
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…
What happens when you give morphine for chest pain in ACS? And what is pseudo-normalization of T-waves?
Written by Magnus Nossen, with edits by Smith The patient in today’s case is a 70-year-old farmer. He has a history of coronary artery…
Chest pain followed by 6 days of increasing dyspnea — what happened?
Written by Magnus Nossen, edits by Smith The patient in today’s case is an 85-year-old male with a history of COPD and dementia. He…
Dizziness in a 40-something with recent stent for inferior OMI
Dizziness is so unlikely to be OMI without an obvious ECG, that I am going to pretend that this patient presented with chest pain. The…
Chest pain with 2 serial ECGs, with dynamic change, texted to me
These were texted to me only with “chest pain.” First: 2nd: What was my response? Smith: Young thin black male. No OMI. Texter:…
A Middle-Age Male with Chest Pain that Recurs in the ED
A middle aged male with some coronary risk factors presented to the ED after an episode of typical sounding chest pain that was resolved upon…
Subtle LAD Occlusion with Pseudonormalization of Wellens’ Waves.
Here is another patient I saw a few weeks ago He is in his 30’s and presented with many hours of chest pain. Here is his…
It is Far too Early for a Requiem for Unstable Angina
Dr. Braunwald declared that high sensitivity troponins will make Unstable Angina a thing of the past. That very well may be true, but in…
Repost: a certain pattern of PseudoSTEMI, with or without superimposed STEMI
I posted this on March 1, 2012. I was inspired by a post by Len Jin Yee to repost. But this time without the answers. …