Hypertrophic Cardiomyopathy with dehydration and chest pain
A middle-aged man with a history of HOCM presented with 24 hours of chest pain, still active. He stated that he had been dehydrated for…
Do we need serial ECGs for this case of chest pain?
From Drew Williams A 40-something patient called 911 for 30 minutes of left sided chest pain radiating to right arm/shoulder (Smith aside:…
Normal ECG by many measures. Is it normal?
This was submitted by Hans Helseth, who is applying to med school and who is working as an EKG tech right now. Smith: This patient…
A prehospital ECG in a patient with chest pain. The paramedics tell me it is normal.
I was working at triage when the medics brought this patient who is 65 yo and has had chest pain for 12 hours. They recorded a prehospital ECG…
OMI can be very subtle and easy to miss, but be a very large infarction.
I was reading ECGs on the system and came across this one. What do you think? There is minimal STE in II, III, with an inverted…
Crushing Chest Pain and Can’t see OMI on the ECG? Just give morphine, right?
Submitted anonymously, written by Willy Frick A man in his late 30s with a 10 pack-year smoking history presented with acute substernal…
A man in his 40s with 3 days of stuttering chest pain
Written by Willy Frick A man in his early 40s with BMI 36, hypertension, and a 30 pack-year smoking history presented with three days of chest…
A man with chest pain off and on for two days, and “No STEMI” at triage.
Written by Kaley El-Arab MD, edits by Pendell Meyers and Stephen Smith A 61-year-old male with hypertension and hyperlipidemia presented…
75 year old with 24 hours of chest pain, STEMI negative
Written by Jesse McLaren A 75 year old with a history of CABG called EMS after 24 hours of chest pain. HR 40, BP 135/70, RR16, O2 100%.…