Chest pain 6 days after a negative stress test
This case comes from Cody Pinnow, a 2nd year EM resident who learned EKGs from this blog while working as a cardiac monitor technician, before…
A woman in her 60s with acute chest pain and shortness of breath
Written by Pendell Meyers A woman in her 60s had acute chest pain and shortness of breath. EMS arrived and recorded this ECG (no baseline ECG…
Will this case be flagged for Quality Improvement in the STEMI/NSTEMI Paradigm?
Written by Jesse McLaren A 40 year old presented with 90 minutes of midsternal chest pressure, radiating to bilateral arms, with shortness of…
Will this case be flagged for Quality Improvement in the STEMI/NSTEMI Paradigm?
Written by Jesse McLaren A 40 year old presented with 90 minutes of midsternal chest pressure, radiating to bilateral arms, with shortness of…
The Computer and Overreading Cardiologist call this completely normal. Is it?
This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech. The undergraduate is now…
60 yo with chest pain: why the abnormal QRS and abnormal repolarization?
Written by Pendell Meyers A man in his 60s presented with acute chest pain and normal vital signs. Here is his triage ECG: What do you…
60 year old with chest pain, STEMI negative. What should the discharge diagnosis be?
Written by Jesse McLaren A previously healthy 60 year old developed exertional chest pain with diaphoresis, and called EMS.…
A man in his 30s with chest pain. How was he managed? What if they had used the Queen of Hearts?
Written by Pendell Meyers A man in his late 30s with history of hypertension, tobacco use, and obesity presented to the Emergency Department…
EMS told “Not a STEMI”. What do you think?
Written by Pendell Meyers A woman in her 70s had acute chest pain and called EMS. On arrival, EMS recorded relatively normal vital…