Chest pain and Convex ST Elevation in Precordial Leads
A 30-something y.o. male with PMH significant for anxiety, asthma, and alcohol use disorder presented with chest pain x 1 week. Patient…
A Middle-Aged Man with crescendo angina
A middle-aged male with several comorbidities including DM presented with chest pain. It had been on and off all day, then constant for…
Ultrasound Before ECG for Chest pain? Whoever gets there first. Use of Speckle Tracking.
A male in his mid 30s with no cardiac history but some cardiac risk factors had onset of chest pain and arrived in the ED within 30 minutes of…
A Hybrid of de Winter’s T-waves and Diffuse Subendocardial Ischemia: Left Main Ischemia
A very elderly woman who was highly functional complained of jaw pain and called 911. Her BP was 80/40 with a puls of 45. Here is…
LBBB on Cardiac Ultrasound: do not be fooled into diagnosing a wall motion abnormality!
The last case on the blog of LBBB with very high voltage was actually first identified as LBBB by ED bedside echo, which was done PRIOR to the…
ST elevation and QS-waves. ECG is equivocal. Use ED Echo!!
A male in his 50’s with history of CAD, Diabetes, AAA with repair, and HTN presented for chest pain. He complained of left-sided…
Prehospital Inferior STEMI: Bedside Echo in ED is normal
A woman in her 60’s complained of chest pain. 911 was called. She had this prehospital ECG: Obvious Infero-posterior and…
Extremely Subtle ECG, but Bedside Echo Shows Wall Motion Abnormality and Ischemic Pain Cannot Be Controlled Medically
A male in his 40’s with no previous cardiac history had presented to a clinic recently with chest burning, had a nondiagnostic ECG, and…
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…
Prehospital ST Elevation and pain resolve with NTG. ECG and Echo normal in ED.
The resolution of symptoms and the ECG in this case is similar to the last post, but the ST and T-wave morphology of the ECGs are quite…