Sometimes even ST Elevation meeting criteria is not enough to be convincing
Written by Emre Aslanger. Emre is a new Editor of the Blog. He is an interventionalist in Turkey. A 50 something-year-old man with…
A woman in her 30s with several days of chest pain and an episode of altered mental status.
Written by Pendell Meyers, reviewed by Smith, Grauer, McLaren A woman in her early 30s with history of diabetes had 2-3 days of gradual onset…
What happens when you don’t recognize an OMI?
This was sent by an “avid reader.” The case was from his hospital, which does not have a cath lab. Case A 60-something male…
Was the intern correct?
Written by Pendell Meyers, case submitted by Max Macbarb, edits by Steve Smith A 71 year old gentleman with history of CAD and PCI presented…
Watch what happens when “pericarditis” and morphine cloud your judgment
Submitted and written by Alex Bracey with edits by Pendell Meyers and Steve Smith Case A 50ish year old man with a history of CAD w/ prior LAD…
To activate or not to activate?
Written by Pendell Meyers, with edits by Steve Smith I was texted this ECG with no clinical information: (This will be called ECG-2) What do…
45 year old with chest pain
A 45-year-old male was in his usual state of health until three hours prior to arrival, when he developed left-sided chest pressure with…
Male in his 40’s with chest pain.
A male in his 40’s was in his usual state of health until 3 hours prior when he developed L-sided chest pressure, radiating to the neck,…
Two patients with chest pain and ST elevation. Are they STEMI?
Both of these patients presented with chest pain. What do you think of the ECGs? For the answer, go to the free pdf of this paper…
Crushing Chest pain, but the ECG is not obvious; later there is both RBBB and LBBB
A 63 year old male presented with crushing chest pain. Prehospital BP was 70, but higher in the ED. Here is the initial ECG at 1033 PM:…