It is not a STEMI; it is an opportunity to save myocardium!
I was teaching about subtle coronary occlusion at EKG conference to our residents a couple days ago. About coronary occlusion that does…
A Middle-Aged Man with crescendo angina
A middle-aged male with several comorbidities including DM presented with chest pain. It had been on and off all day, then constant for…
Bizarre T-wave Inversions in a Patient without Chest Pain
This was sent by a recent ultrasound fellow, asking for my ECG diagnosis. He stated that it is “an acute change from previous” in…
30-something with chest pain, a fragmented QRS, and ST Elevation.
A young man presented with acute chest pain. He had no cardiac history. He had no medical history at all. His vital signs…
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…
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…
Left Bundle with Convex ST Segment: Where is the J-point?
On July 26, I posted a similar problem, but in that case, the huge ST elevation was proportional. Here is another case in which it may…
Subacute AnteroSeptal STEMI, With Persistent ST elevation and Upright T-waves
A man in his 60’s presented after 4 days of chest pain, with some increase of pain on the day of presentation. Exact pain history…
Is the LAD really completely occluded when there are de Winter’s waves?
A male in his 30’s complained of sudden severe substernal chest pain. He was rushed to the critical care area where they recorded…
Incredible Case Demonstrating the Value of Frequent Serial ECGs
This case is presented and written by Vince DiGiulio, (EMT-Critical Care and emergency department tech). As his title shows, he is…