Two ECGs texted to me in the same hour. What would you recommend?
Written by Pendell Meyers Both of these cases were sent to me with no information other than adults with acute chest pain. What would be your…
A man in his 60s with acute chest pain and high voltage
Sent by Anonymous, written by Pendell Meyers A man in his 60s with history of CAD and 2 prior stents presented to the ED complaining of acute…
Severe Chest Pain on ED Arrival, after Wellens’ waves Seen on Prehospital ECG
A 40-something woman called 911 in the middle of the night for Chest pain that was intermittent. On arrival, she complained of…
QS-wave in V2: 2 cases, different paradigms lead to different treatment times (STEMI – NSTEMI vs. OMI – NOMI)
Submitted by anonymous, written by Pendell Meyers. Additional case by Smith. Case 1 A middle aged woman presented with acute chest pain…
An ECG which is obviously diagnostic of OMI can appear wholly non-specific to most interpreters. A comment on AI.
This was texted to me by a former resident, with no information: What do you think? Here Ken Grauer has used the PM Cardio app to…
Chest pain one day after a negative stress test
Written by Dominic Nicacio MD, with edits by Pendell Meyers and Steve Smith A man in his early 50s with known CAD and prior stent…
A woman in her 30s with several days of chest pain and an episode of altered mental status.
Written by Pendell Meyers, reviewed by Smith, Grauer, McLaren A woman in her early 30s with history of diabetes had 2-3 days of gradual onset…
A man in his 50s with hypoxemic respiratory failure from COVID pneumonia develops chest pain
Submitted by anonymous, written by Parker Hambright, MD, peer reviewed by Meyers, Smith, McLaren A man in his 50s with a past medical history…
Instant easy save if you understand OMI, but incredibly dangerous if you only know STEMI. Readers of this blog will instantly understand this and save lives!
Written by Pendell Meyers A man in his 60s presented with 1 hour of acute chest pain. Vitals were within normal limits. Here is his…
A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis “NSTEMI”. This happens far too often.
Submitted by Anonymous MD, edits by Meyers A man in his 60s with past medical history of multiple sclerosis and hypertension was brought in by…