A 45 year old smoker presents with palpitations, is discharged, and is found dead 2 days later
A 45 year old smoker presented with palpitations. He had no other medical problems. There was no syncope. He was on no…
H/o MI and stents with brief angina has this ED ECG. And what is Fractional Flow Reserve?
A middle-aged man complained of 15 minutes of classic angina that resolved upon arrival to the ED. Here is his initial ECG: What do you think?…
Sudden Chest pain and SOB with a Wide Complex Tachycardia
This case was contributed by a medic who wishes to remain anonymous (his comments are in red). This was a 60 something male who called for…
30-something with chest pain, a fragmented QRS, and ST Elevation.
A young man presented with acute chest pain. He had no cardiac history. He had no medical history at all. His vital signs…
CHF Exacerbation with Old LBBB: Is There New Infarction or Not?
An very elderly woman with a h/o CAD with stents to the RCA and circ, mild aortic stenosis, h/o ischemic cardiomyopathy, EF 25%, and h/o heart…
Pericarditis, or Anterior STEMI? The QRS proves it.
A young otherwise healthy man presented with 4 hours of sharp 10/10 substernal chest pain. It has been constant since then. He…
Left Bundle Branch Block and Left Anterior Descending Artery occlusion: Serial ECGs then T-wave inversion after reperfusion
A 50 yo male presented with chest pain. This ECG was recorded at 0415. There is sinus tachycardia. There is left bundle branch…