What is this pattern?
This was contributed by Amandeep Singh, from Highland Hospital In Oakland CA. A 54yo male presented to the ED with severe substernal chest…
A very elderly woman with sudden severe chest pain radiating to her back
An 89-year-old woman with a history of hypertension only on propranolol and hydrochlorothiazide presented by ambulance with sudden onset of…
See what happens when a left main thrombus evolves from subtotal occlusion to total occlusion.
Written by Magnus Nossen The patient in today’s case is a male in his 70s with hypertension and type II diabetes mellitus. His wife…
What are treatment options for this rhythm, when all else fails?
Written By Magnus Nossen — with edits by Ken Grauer and Smith. The patient in today’s case is a previously healthy 40-something male who…
Sudden shock with a Nasty looking ECG. What is it?
A 60-something woman complained of sudden severe abd pain. She was found by medics agitated, hypotensive, diaphoretic, and in shock. There…
Shark fin post arrest: do you understand the ECG?
Case submitted by Dr. Daryl Williams, written by Pendell Meyers, peer reviewed by Smith and Bracey A physician bystander witnessed a…
A deadly alcohol binge: a man in his 30s with chest pain and initial high sensitivity troponin I within normal limits
Submitted and written by Emergency Physician Dr. Arjun J V, with some minimal edits by Smith and Meyers A man in his 30s was rushed into our…
What do you think the echocardiogram shows in this case?
A 60-something man presented by EMS with 5 hours of fairly typical sounding substernal chest pain. Here is the EMS ECG: Obviously…
Guess the culprit with ST Elevation in posterior leads
A middle aged man had off and on chest pain for 2 weeks, then 2 hours of more severe and constant pain. Here was his ED ECG, which was…
What is the infarct artery????? And have you ever seen a troponin this high?
An elderly woman with h/o stroke and aphasia seemed different to her daughter, and was pointing all over her body as if in pain. They called…