A man in his 60s with shockable arrest, then ROSC, and no STEMI – what will you do?
Case submitted by Allie Oberst and Ashley Mogul, edits by Pendell Meyers and Steve Smith A male in his late 60s with PMH of poorly controlled…
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 man in his 30s with 12 hours of chest pain; is the ECG consistent with 12 hours of occlusion?
Written by Pendell Meyers, submitted by Siva Vittozzi-Wong A man in his 30s with history of hypertension, hyperlipidemia, and diabetes…
An ECG sent to me with concern for hyperacute T-waves
Written by Pendell Meyers A woman in her 70s with diabetes, hypertension, and hyperlipidemia suddenly developed nausea, diaphoresis, and brief…
Would you have given thrombolytics to this NSTEMI patient?
Case submitted by Dr. James Alva A middle aged male called EMS for chest pain. EMS arrived and confirmed that the patient was complaining of…
A man in his sixties with chest pain at midnight with undetectable troponin
Written by Pendell Meyers A male in his 60s with no known past medical history presented at midnight with chest pain over the past 3 hours.…
A man in his sixties with chest pain at midnight with undetectable troponin
Written by Pendell Meyers A male in his 60s with no known past medical history presented at midnight with chest pain over the past 3 hours.…
What happens when you don’t recognize an OMI?
This was sent by an “avid reader.” The case was from his hospital, which does not have a cath lab. Case A 60-something male…
Three EKGs shown to me – which if any need emergent reperfusion?
Written by Pendell Meyers We commonly get feedback from readers who are skeptical that we can pick out the subtle NSTEMI occlusions from…
Is this ST elevation normal or abnormal?
Written by Pendell Meyers A male in his 50s with history of HTN, DM, HLD presented with chest pain of less than one hour duration. Here is his…