When should you get a CT scan on a STEMI patient to rule out aortic dissection?
Answer: Almost Never 2 cases Case 1: This was sent to me by a reader whose partner managed the case: This was a 55 yo female non-smoker with a…
A very elderly woman with sudden severe chest pain radiating to her back
An 89-year-old woman with a history of hypertension only on propranolol and hydrochlorothiazide presented by ambulance with sudden onset of…
Which Chest Pain patient needs a CT scan?
Which patient needs a CT Scan? Case 1: 20-something woman with chest pain Case 2: 50-something man with chest pain Case 1 A 20-something yo…
A woman in her 70s with chest pain
Submitted and written by Quinton Nannet, MD, peer reviewed by Meyers, Grauer, Smith A woman in her 70s recently diagnosed with COVID was…
A man in his 50s with acute chest pain and diffuse ST depression
Submitted by Alex Bracey, with edits by Meyers and Smith A man in his 50s with history of type B aortic dissection with prior TEVAR…
“Pericarditis” strikes again
Written by Pendell Meyers A man in his late 40s with several ACS risk factors presented with a chief complaint of chest pain. Several…
Is it important to recognize LVH Pseudo-infarction patterns?
A middle-aged male called 911 for sudden severe chest pain. The medics were very worried about acute MI and recorded a prehospital ECG.…
A 50-something with severe chest pain and a normal ECG
A 50 something with no past history presented with sudden severe substernal chest pain with no radiation or associated symptoms. The…
30 Year Old with Cardiac Arrest, PEA, then Cardiac Ultrasound
A 30 year old collapsed after complaining of chest pain intermittently. He was unconscious. First responders thought they palpated…