30 yo woman with chest pain and a “normal ECG” by the computer, this one prehospital
This was sent by paramedics in the Northwest Ambulance Service in the UK. James Alameddine credits his partner, Gary Wilson. Case A 30…
Chest pain and precordial ST depression which resolve, followed by a wide complex rhythm
Here is another case written by Pendell Meyers, a G2 at Stony Brook. As I mentioned before, Pendell will be helping to edit and…
15 hours of chest pain. Too late for thrombolytics, right? Unstable Angina still exists.
The time window for therapy with thrombolytics is up to 12 hours after the onset of chest pain, based on many studies done in the thrombolytic…
Slightly Peaked T-waves. What is it?
I saw this as I was reading a large a stack of ECGs: What do you think? There is sinus tachycardia. The T-waves are slightly…
Low HEART score. Acute LAD occlusion. Detected only by analysis of subtle ECG.
A completely healthy 39 year old woman with no cardiac risk factors had sudden onset of bilateral trapezius pain that radiated around to her…
Chest pain relieved by Maalox and viscous lidocaine
An otherwise health male in his early 40’s presented with “burning” in his epigastrium that radiated to his throat and was…
An elderly man with severe chest pressure……
This was sent to me by a medical student: The patient is an elderly man with no significant past medical history who developed what he…
Reciprocal (Negative) Hyperacute T-waves. What is the Diagnosis?
I was shown this ECG and asked if I think it is a STEMI. What do you think? Answer Below I answered that it does not meet any criteria…
Hyperacute T-waves that one might attribute to hyperkalemia and acidosis
A 32 yo type I diabetic woman presented with chest pain, nausea, vomiting and diffuse abdominal pain. She was in DKA with an anion…
Anterior ST elevation with large broad T-wave: what is the diagnosis?
A 41 year old male presented to a clinic with chest pain. Here is the ECG: There are very large, scary T-waves, with significant ST…