HEART Score Zero. Computer Normal ECG. Troponin Undetectable. Speckle Tracking Echo normal.
A completely healthy 30-something year old woman with no cardiac risk factors had sudden onset of bilateral trapezius pain that radiated…
Proportionality is a major element in the ECG Diagnosis of OMI.
This middle aged patient presented with chest pain: What do you think? There is VERY low voltage. There is some ST Elevation, but…
Proportionality and Serial ECGs Make the Diagnosis. What does the Queen say?
This case comes from Jason Winter, of The Facebook Clinical Electrocardiology ECG Page. A 60-something woman called EMS for chest pain. Here…
This patient did not present with chest pain
This was posted a few years ago. I’m highlighting it again, with comments from Ken Grauer below. This was sent to me by Jason…
A 40-something man with very elevated blood pressure and acute severe chest pain
This 40-something male whose only medical history was hypertension presented with acute chest pain. A 12-lead ECG was immediately recorded…
A man in his 60s woken from sleep by epigastric pain. Would you have been able to correctly diagnose him?
Written by Pendell Meyers A man in his mid 60s with history of CAD and stents experienced sudden onset epigastric abdominal pain radiating up…
Massive ST Elevation in a 38 year old with Syncope
This ECG was texted by a former resident with the words “38 year old, syncope while urinating. Negative troponin.” What do…
Getting It Right Despite the Wrong Paradigm
Written by Alex Bracey, edits by Meyers and Smith A 50 something year old male presented to the ED as a transfer from an outside hospital with…
A man in his 40s with chest pain reproducible with palpation
Written by Pendell Meyers, submitted by George Konstantinou A man in his early 40s with history of smoking and hypertension presented to the…
A middle-aged male with chest pain
A 40-something male presented with chest pressure. Here is his triage ECG: What do you think? The triage physician suspected that this was a…