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…
Quiz post: two patients with chest pain. Do either, both, or neither have OMI?
Written by Pendell Meyers Two patients with acute chest pain. Do either, neither, or both have OMI and need reperfusion? Patient 1:…
Syncope While Driving. Activate the Cath Lab?
A 50-something had syncope while driving. He was belted and it was low speed. He had a prehospital ECG. He was ambulatory at…
Quiz post: 2 similar patients with similar ECGs. Which, if any, or both, are OMI? Will you outperform the Queen of Hearts?
Written by Pendell Meyers Two adult patients in their 50s called EMS for acute chest pain that started within the last hour. Both were…