A 90-something with acute stroke. She has no chest symptoms. What is the diagnosis?
A 90-something year old woman presented with an acute mild stroke. She had a routine ECG as part of her workup: What do you think? This was…
A man in his 50s with abdominal pain and a computer read of ***Acute MI ***
Submitted by Dr. Arjun J V, Written by Pendell Meyers A man in his 50s with history of diabetes presented with acute onset abdominal…
An 80-something with weakness, cough, and CP. Should this ECG provoke a Prehospital Cath Lab activation?
An 80-something called 911 for chest pain, generalized weakness, and cough. Here is his prehospital ECG: The medics were worried about this…
15 yo AAM with ST Elevation and T-wave Inversion. Hypertrophic Cardiomyopathy or Normal (“Variant”)?
Is this normal or hypertrophic cardiomyopathy (HOCM)? The mother of a 15 yo African American male brought her son to the clinic for a sports…
A Young Man with Recurrent Chest Pain and Dyspnea with Exertion
Case This is a young man who has had chest pain and dyspnea with exertion for years. He presented to the ED with these symptoms again.…
Prolonged (63 minutes) Ventricular Fibrillation, Followed by Shock. What’s going on?
A middle-aged patient presented in continued ventricular fibrillation after 5 minutes of down time and 45 minutes of prehospital resuscitation…
Prolonged (63 minutes) Ventricular Fibrillation, Followed by Shock. What’s going on?
A middle-aged patient presented in continued ventricular fibrillation after 5 minutes of down time and 45 minutes of prehospital resuscitation…
History of Hypertrophic Cardiomyopathy (HOCM), with Tachycardia and High Lactate
A patient under 40 with h/o HOCM and implantable cardioverter-defibrillator (for secondary prevention of VF arrest that occurred during…
Left Bundle Branch Block with Less Than 1 mm of Concordant ST Elevation (in the Setting of Hypertrophic Cardiomyopathy)
A male in his 60’s with a known history of hypertrophic cardiomyopathy (HOCM) presented for chest pain. He thought it was…
Exertional Chest pain and Near Syncope in a Young Adolescent
An adolescent female presented for increasing chest pain (sometime sharp, sometime like someone standing on her chest) and palpitations with…