Head On Motor Vehicle Collision. ST depression. Myocardial Contusion?
A woman in her 40’s was involved in a head-on motor vehicle collision. EMS noted a facial droop. On arrival she was hypertensive…
A Non STEMI that needs the cath lab now.
A male in his 60’s called 911 for chest pain. He had some cardiac risk factors including hypertension, on meds, but no previous…
Middle Aged Woman with Asystolic Cardiac Arrest, Resuscitated: Cath Lab?
A middle-age woman with h/o hypertension was found down by her husband. Medics found her apneic and pulseless, began CPR, and she was…
Pseudo Right Ventricular MI
This most recent post will help you understand this post here: I was nordic skiing out in the wilds of the Upper Peninsula of Michigan when I…
Five Primary Patterns of Ischemic ST depression, without ST elevation. Some are STEMI-equivalents.
Here are some basic concepts before we get into the ECGs: STEMI and NonSTEMI are arbitrary terms that may confuse the clinician.…
Marked ST depression refractory to maximal medical therapy
This 62 year old man, heavy smoker, with no previous medical history, presented after 2.5 hours of substernal chest pressure. He…
ST elevation in aVR, with widespread ST depression
This case and ECG was already posted here: https://drsmithsecgblog.com/2010/01/deep-and-widespread-st-depression.html However, because of a…
Beware crescendo angina in patient with known CAD
A 73 yo f with hx of CAD (CABG x 2), DM, HTN, hyperlipidemia and known previous LAD occlusion, presented to the ED at t=0 with chest pain,…
Deep and widespread ST depression signifies high risk coronary lesion
This 51 yo male presented with Chest pain. There is ST depression, greater than 3 mm in some leads, in I-III, aVF, and V3-V6. aVR also has ST…
Probable Left Main coronary artery occlusion/obstruction, with STE in aVR, alternating BBB, and arrest
This 59 yo male had sudden chest and abdominal pain and dyspnea. He called 911. Paramedics found him in profound distress, stating “I…