Quiz post: do either or both of these patients have high lateral OMI / South African flag sign?
Written by Pendell Meyers, edits by Smith Two patients presented with acute chest pain/pressure. Here are their ECGs: Patient 1: Patient…
A 64 year old man with chest tightness
Submitted and written by Kaley El-Arab MD Peer reviewed by Pendell Meyers, Alex Bracey, Stephen Smith A 64-year-old male with past…
A man in his 50s with 2 hours of chest pressure
Case submitted by Anonymous, written by Pendell Meyers A man in his 50s with history only smoking presented to the ED with chest…
A man in his 50s with fever and shortness of breath
Written by Pendell Meyers A man in his 50s with HTN, HLD, obesity, and restrictive lung disease presented with shortness of breath worsening…
A “normal ECG” on a busy night
Written by Pendell Meyers We walked in to an overnight shift with approximately 70 patients in the waiting room and a room full of sign-outs…
A 33 year old male with acute back pain radiating to the chest
Written by Pendell Meyers, with edits by Steve Smith Case I was called to the EMS control room to answer an RMA (Refusal of Medical Advice).…
Is this acute coronary occlusion? Simple ACS? Where is the culprit lesion?
This was sent by Brandon Stein. This patient presented with chest pain: What do you think? There is “inferior” ST…
ST Elevation in I and aVL: do prehospital cath lab activation on these cases?
Case 1. A 50-something year old man with 2 cardiac risk factors had a syncopal episode associated with diaphoresis. There was no chest…
Reciprocal ST depression in II, III, aVF. What is the diagnosis?
A colleague approached me with this ECG of a middle aged male with this ECG; my colleague was worried about acute ischemia. There was no…
“Inferior” ST depression: What is the diagnosis?
This 58 year old man presented at noon with chest pain that began the previous evening and became constant less than one hour prior. Now…