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…
Posterolateral OMI resulting in VT, then R-on-T phenomenon and VF
Submitted by Arjun Iyer, Written by Pendell Meyers A male in his 50s with no known medical history presented for chest pain and shortness of…
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).…
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…
Subtle Lateral ST elevation. False positive. This diagnosis is hard.
Case 1. A middle-aged woman presented with severe substernal crushing chest pain radiating to the left shoulder. This was her…
Wait until after the ECG to give Nitroglycerine
Here is the ED ECG of a 58 yo male whose chest pain is resolved: There is sinus rhythm with a PAC (which has aberrant conduction…
ST depression does not localize: 2 cases of “inferior” ST depression diagnostic of high lateral STEMI
Case 1: This is a 72 yo male with h/o CABG who presents with 5.5 hours of sudden onset, constant, substernal chest pressure. Here is the…