Chest pain, pelvic and abdominal pain, hypotension, and severe ischemia on the ECG
An elderly male was lethargic at the nursing home and complained of some pelvic pain, but then also chest pain and abdominal pain. He…
How does Acute Total Left Main Coronary occlusion present on the ECG?
Post by Smith and Meyers Sam Ghali (https://twitter.com/EM_RESUS) just asked me (Smith): “Steve, do left main coronary artery…
An 80 year old man in VF arrest
An elderly man suffered out of hospital cardiac arrest. He was found in V Fib by EMS. He was shocked out of VF multiple times and arrived in…
Can you see through this wide complex rhythm?
Written by Pendell Meyers A 76 year old man with history of CHF, moderate aortic stenosis, insulin-dependent diabetes, hypertension, stroke,…
The 4 Physiologic Etiologies of Shock, and the 3 Etiologies of Cardiogenic Shock
A 60-something presented with hypotension, bradycardia, chest pain and back pain. She had a h/o aortic aneurysm, aortic insufficiency,…
An elderly man with sudden cardiogenic shock, diffuse ST depressions, and STE in aVR
Written by Pendell Meyers 84 yo M with history of a “valve problem” presented for sudden onset chest pain and trouble breathing while eating…
Total eclipse of the heart
Written by Pendell Meyers A male in his late 50s had sudden chest pain radiating to the left side and back, with nausea and diaphoresis as…
A middle aged man with ST depression and a narrow window of opportunity
Written by Pendell Meyers I received a text at 18:13 of an ECG taken several minutes prior, with no clinical information and only the question…
ST-Elevation in aVR with diffuse ST-Depression: An ECG pattern that you must know and understand!
This case comes from Sam Ghali (@EM_RESUS). A 60-year-old man calls 911 after experiencing sudden onset chest pain,…
Diffuse Subendocardial Ischemia on the ECG. Left main? 3-vessel disease? No!
This was contributed by some folks at Wake Forest: Jason Stopyra, Shannon Mumma, Sean O’Rourke, and Brian Hiestand. It was edited by…