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…
Chest pain in a middle-aged male
A middle-aged male presented with acute onset of typical ischemic type chest pain. Here is his initial ECG: What do you see? He had a previous…
Terminal QRS Distortion due to LAD Occlusion
A male in his 30’s presented with chest pain. Here is his initial ECG: There is sinus rhythm, with a normal QRS and precordial ST…
Young Woman with history of repaired Tetralogy of Fallot presents with chest pain
History: This woman in her 20’s (age) with history of repaired Tetralogy of Fallot presented with CP. Here is her presenting…
Chest Pain and Right Bundle Branch Block. What is the Diagnosis?
A male in his 70’s with no h/o MI or CAD presented with new onset chest pain. Here is his ED ECG: There is sinus rhythm and right…
Crushing Chest pain, but the ECG is not obvious; later there is both RBBB and LBBB
A 63 year old male presented with crushing chest pain. Prehospital BP was 70, but higher in the ED. Here is the initial ECG at 1033 PM:…
LAD occlusion in the setting of paced rhythm
An 80 yo male presented with chest pain. There is clearly a ventricular paced rhythm. Normally in a paced rhythm, the QRS is all negative from…
35 yo woman with LAD occlusion manifesting with only hyperacute Ts and inferior ST depression, also missed by computer
Click here for other cases of missed STEMI. Click here for cases of early repolarization vs. LAD occlusion. A 35 yo woman had the sudden…