A 40-something man with very elevated blood pressure and acute severe chest pain
This 40-something male whose only medical history was hypertension presented with acute chest pain. A 12-lead ECG was immediately recorded…
Anterior STEMI and multiform PVCs with Narrow Coupling Interval. When to give beta blockers in acute MI?
A middle-aged male had 45 minutes of chest discomfort and drove to the ED. He has a history of hyperlipidemia. No previous…
ST Elevation and Positive Troponin. Is it STEMI? No. And it is not even ACS.
A male in his 60s complained of constant chest pain for 12 hours. He has a h/o DM and HTN and has been off his meds, including…
Ischemic Chest Pain and Hypertension: Use of Adjunctive Anti-ischemic Therapy
A middle aged male with several CAD risks has had several months of exertional angina relieved by rest and nitro. He had the onset of…
Beta Blockers in Anterior STEMI: Have We Come Full Circle?
A new small randomized trial suggests that early intravenous metoprolol, early after symptoms and prior to PCI for anterior STEMI, reduces…