Two 70 year olds with chest pain, and 3 pitfalls of the STEMI paradigm
Written by Jesse McLaren Two 70 year olds had acute chest pain with nausea and shortness of breath, and called paramedics. Who…
QS-wave in V2: 2 cases, different paradigms lead to different treatment times (STEMI – NSTEMI vs. OMI – NOMI)
Submitted by anonymous, written by Pendell Meyers. Additional case by Smith. Case 1 A middle aged woman presented with acute chest pain…
An elderly woman with acute vomiting, presyncope, and hypotension, and a wide QRS complex
Written by Pendell Meyers Family of an elderly woman with many comorbidities called EMS when she suddenly experienced shortness of…
Opiate overdose, without chest pain or shortness of breath. Cognitive dissonance.
I was reading EKGs on the system and saw this one….. What did I put in as my interpretation? Interpretation: “Acute LAD occlusion…
Chest pain one day after a negative stress test
Written by Dominic Nicacio MD, with edits by Pendell Meyers and Steve Smith A man in his early 50s with known CAD and prior stent…
A 50 year old with chest pain? What is going on? By Emre Aslanger.
Posted by Emre Aslanger, our newest blog Editor. Emre is a distinguished cardiologist in Turkey, and has published widely on the ECG…
A man in his 50s with acute chest pain without STEMI criteria. Trop negative. Cath lab cancelled. But how about the ECG and echo?
Case submitted by Matt Tanzi MD, written by Pendell Meyers A man in his early 50s presented with substernal chest pain and that started 1 hour…
Chest pain, peak troponin 100,000 ng/L and this ECG on discharge: what’s the diagnosis?
Written by Jesse McLaren, with edits by Smith Usually cases are presented in chronological order the way they appear in real life. But…
A woman in her 30s with several days of chest pain and an episode of altered mental status.
Written by Pendell Meyers, reviewed by Smith, Grauer, McLaren A woman in her early 30s with history of diabetes had 2-3 days of gradual onset…
Two patients with chest pain and LVH: Neither STEMI criteria, nor Armstrong criteria, can identify occlusion or reperfusion
Written by Jesse McLaren Two patients presented with chest pain and LVH on ECG. Patient 1: 65 year old with an hour of left sided chest…