Dizziness in a 40-something with recent stent for inferior OMI
Dizziness is so unlikely to be OMI without an obvious ECG, that I am going to pretend that this patient presented with chest pain. The…
Are there hyperacute T-waves? And how can we know?
A 50-something man presented with worsening severe exertional chest pain which was just resolving as he had an ECG recorded in triage. Time…
Hyperacute T wave or not: do any of these 4 ‘STEMI’ ECGs have Occlusion MI?
Written by Jesse McLaren, with edits from Meyers Four patients presented with chest pain or shortness of breath, and ECGs labeled…
If you were this patient, would you prefer to be managed with the Queen of Hearts?
Written by Pendell Meyers A man in his early sixties with no significant medical history (including a “negative cardiac workup a few…
An elderly male with shortness of breath
A 70-something y.o. male presents to triage with shortness of breath. He reports significant chest pain at the base of his scapula on…
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…
Two prehospital ECGs of patients with chest pain.
Written by Pendell Meyers and Steve Smith Here are two cases of middle-aged men with chest pain who had prehospital ECGs. Patient 1, ECG 1:…
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…
See this “NSTEMI” go unrecognized for what it really is, how it progresses, and what happens
Written by Nathanael Franks MD, reviewed by Meyers, Smith, Grauer, etc. A man in his 70s with past medical history of hypertension,…
Expert human ECG interpretation and/or the Queen of Hearts could have saved this patient’s anterior wall
This is a re-post of an excellent case from 2021. See it again now, along with our new Queen of Hearts functionality. We’ve come a long…