A 40-something male with cough, dyspnea, and chest tightness.
A 40-something man with h/o asthma presented with cough, sore throat, earache, shortness of breath and chest tightness. His wife had similar…
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 MI/STEMI** **: Activate the cath lab if the patient has chest pain?
Written by Willy Frick I was reviewing our institutional PMcardio account which we are using to improve early identification of patients with…
Hyperacute T wave or not: do any of these 4 ‘STEMI’ ECGs have Occlusion MI?
Written by Jesse McLaren, with edits from Meyers Four patients presented with chest pain or shortness of breath, and ECGs labeled…
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:…
Acute Dyspnea and Right Bundle Branch Block
I was texted this ECG just as I was getting into bed. It is of an elderly woman who complained of shortness of breath and had a recent stent…
A 90-something with acute stroke. She has no chest symptoms. What is the diagnosis?
A 90-something year old woman presented with an acute mild stroke. She had a routine ECG as part of her workup: What do you think? This was…
What do you think of this ECG that was texted to me?
This ECG was texted to me by a colleague. I assumed it was from a patient with symptoms compatible with ACS/OMI. What do you think?…
This was texted to me in real time. The patient has acute chest pain.
This was texted to me in real time. The patient has acute chest pain. What do you think? Here was my answer: “Not ischemia.…
Two patients with chest pain. Do either of them need emergent reperfusion? Both? Neither?
Written by Pendell Meyers Here is a quick comparison / quiz post. It will be easy for long time blog readers. The two ECGs below are…