See what happens when a left main thrombus evolves from subtotal occlusion to total occlusion.
Written by Magnus Nossen The patient in today’s case is a male in his 70s with hypertension and type II diabetes mellitus. His wife…
Two patients with diffuse ST depression and reciprocal ST elevation in aVR: do either/both/neither have Occlusion MI?
Written by Jesse McLaren, with additions from Smith Two patients presented with chest pain with ST elevation in aVR, and the same final ECG…
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…
90 year old with acute chest and epigastric pain, and diffuse ST depression with reciprocal STE in aVR: activate the cath lab?
Case submitted and written by Mazen El-Baba MD, with edits from Jesse McLaren and edits/comments by Smith and Grauer A 90-year old with…
Shark fin post arrest: do you understand the ECG?
Case submitted by Dr. Daryl Williams, written by Pendell Meyers, peer reviewed by Smith and Bracey A physician bystander witnessed a…
A man in his late 40s with chest pain
Written by Pendell Meyers with edits by Smith A man in his late 40s with no known medical problems was at work when he suddenly…
Hypotension, altered mental status, and aVR sign – activate the cath lab?
Written by Lucas Goss MD, peer reviewed by Pendell Meyers, Alex Bracey, Stephen Smith An 81 year-old female with PMHx of ESRD on…
Guess the culprit with ST Elevation in posterior leads
A middle aged man had off and on chest pain for 2 weeks, then 2 hours of more severe and constant pain. Here was his ED ECG, which was…
Global ST depression with ST elevation in aVR – what is the cause?
Written by Pendell Meyers An elderly patient with cardiac history presented with shortness of breath. This ECG was brought to me with concern…
A man in his 50s with witnessed arrest and ST elevation in aVR
Written by Meyers, edits by Smith A 50-ish year old man was working construction when he suddenly collapsed. Coworkers started CPR within 1…