An intoxicated, agitated, 29 year old with chest pain
Here is a one hour lecture on the topic of subtle coronary occlusion, especially on the left anterior descending coronary artery. Case…
Chest pain, ST elevation, and negative serial trops: normal variant (“early repol”). Right?
Case A 58 year old man presented with intermittent chest pain for 2 weeks. He has active pain at the time of this initial ECG: QTc is 455 ms…
Male in early 40’s with 1.5 hours of chest pain
A third year medical student sent me this ECG and asked for my interpretation: Recorded 0625 Here is what I wrote back: “Tough…
A 50-something year old with typical chest pain
A middle age male presented with chest pain. Here is his ECG; there was no previous for comparison: QTc is 380 ms. There is 3 mm of STE…
Chest pain in a patient with previous inferior STEMI. Scrutinize both the ECG and the history!
I was looking through a stack of ECGs (I can’t help myself) and saw this one, which caught my eye: What do you think? Computerized…
45 year old with chest pain
A 45-year-old male was in his usual state of health until three hours prior to arrival, when he developed left-sided chest pressure with…
4 mm of ST elevation in lead V2 (at the J-point) relative to PQ junction
A male in his 30’s male complained of chest pain while having a dental procedure, then became syncopal. The patient is young…
STEMI Seen Best in PVC, Diagnosed by Medic, Ignored by Physician
This is a male in his 50’s who was lying face down on the pavement stating that his chest was “killing him.” He stated…
Woman in her 60’s with 1 hour of chest pain
A woman in her 60’s with h/o DM and HTN complains of 1 hour of sudden onset chest pain. Here is her prehospital ECG: Sinus…
Male in his 40’s with chest pain.
A male in his 40’s was in his usual state of health until 3 hours prior when he developed L-sided chest pressure, radiating to the neck,…