T-wave inversions and dynamic ST elevation
Written by Pendell Meyers, with edits by Steve Smith I received a text message with no clinical information other than the following ECG, with…
Bizarre (Hyperacute??) T-waves
Thanks to one our great HCMC nurses, Ryan Burch. He figured this one out. A dialysis patient presented with dyspnea. He was a bit…
Chest pain, Dynamic ST Elevation and T-waves, and High Voltage
A 20-something had sudden severe chest pain while smoking marijuana at a party. After approximately 40 minutes, other people there…
18 hours of intermittent chest pressure
A male in his 60’s with no previous cardiac history complained of substernal chest pain intermittently for 18 hours. It has more…
Dynamic T-wave inversion (apparent Wellens’ waves), all troponins negative: Unstable Angina
This middle-aged woman presented with increasing intermittent substernal chest discomfort similar to her GERD, but not relieved by the usual…
Waxing and Waning Chest Pain
A male in his 50s presented with Chest pain on and off during the day. At the time of presentation, he had only some jaw pain. An…
Atypical Chest Pain: Suspicious ECG, and a Left Main ACS is found in a 30-something
A male in his 30s presented with chest pain, cough, and sore throat. He had been seen in clinic the day prior for cough x 1 month and sore…
Dynamic inferior MI: STEMI or Non-STEMI? Does it matter?
A 63 year old with no cardiac history developed substernal chest burning while exercising, relieved with rest. It later woke him…
Inferior Dynamic T-waves
A 51 yo healthy male had been lifting 5 lb. weights, then went to shower when, at 0800, he developed severe crushing 10/10 left sided chest…
RBBB with dynamic T-waves
56 y/o male who presented with 12/10 severe chest pain starting at 3AM, radiating to his upper back. He had a history of pulmonary…