Everyone sees ST depression, but what does it mean?
Written by Willy Frick A man in his 70s with hypertension and type 2 diabetes mellitus presented with chest pain which awoke him from…
Abdominal Pain in a middle-aged patient
I was texted this case by Ankur Kalra, an interventional cardiologist at the University of Indiana. He also did his cardiology…
50-year old with chest pain, “no ischemic changes”
Written by Jesse McLaren A previously healthy 50 year-old presented with 24 hours of intermittent exertional chest pain, radiating to…
50 year-old in remote rural community with chest pain and ‘normal’ ECG
Submitted by anonymous, edited by Jesse McLaren The first person “I” and “me” is this anonymous sender. A 50…
Is this acute coronary occlusion? Simple ACS? Where is the culprit lesion?
This was sent by Brandon Stein. This patient presented with chest pain: What do you think? There is “inferior” ST…
STEMI: Which coronary artery is occluded?
This middle aged male with chest pain had this recorded by the medics at t = 0: ST elevation in I and aVL and reciprocal ST depression in…
Wait until after the ECG to give Nitroglycerine
Here is the ED ECG of a 58 yo male whose chest pain is resolved: There is sinus rhythm with a PAC (which has aberrant conduction…
“Inferior” ST depression: What is the diagnosis?
This 58 year old man presented at noon with chest pain that began the previous evening and became constant less than one hour prior. Now…