Acute Chest pain, 2 years in a row.
A man in his 30s presented for similar symptoms (acute substernal chest pain) twice, each visit one year apart. Visit #1 History including…
Found down, CPR, pulse regained. Here is the ED ECG. What is it?
A man in his 60s was found down in the park. Bystanders initiated CPR, but when EMS arrived he had a pulse and it was not clear that he had…
A man in his 60s with acute chest pain. Is this precordial swirl?
A man in his 60s experienced acute chest pain and called EMS. EMS arrived and recorded this ECG during 10/10 chest pain: What do you think?…
70-something with acute chest pain, Right Bundle Branch block, ST Elevation, and large T-waves
A 70-something with no cardiac history called 911 for acute chest pain. Here is the prehospital ECG: What do you think? There is right bundle…
Acute chest pain and ST Elevation. Activate the cath lab?
Written by Pendell Meyers A man in his 40s presented with acute chest pain. Here is his triage ECG: What do you think? The ECG above shows a…
A woman in her 50s with acute chest pain
Written by Pendell Meyers A woman in her 50s with no significant past medical history experienced acute anterior chest pain that woke…
A young man with a ‘pathologic’ ECG
Written by Magnus Nossen The patient in today’s case is a young adult male who has had annual cardiological follow-ups due to a…
An elderly male with acute altered mental status and huge ST Elevation
Written by Bobby Nicholson What do you think of this “STEMI”? A man in his 90s with a history of HTN, CKD, COPD, and OSA presented to the…
A 30-something with acute chest pain
This was sent to me from Sam Ghali (@EM_Resus) with no other information. I assumed it was a patient with acute chest pain. “What…
What do you think of these 2 ECGs in patients with chest pain? How to approach these?
What do you think of these 2 ECGs in patients with chest pain? How to approach these? ECG 1 (sent to my by Sam Ghali @EM_resus) ECG 2…