What is the infarct artery? What does the post PCI ECG show? What does the convalescent ECG show?
What is the infarct artery? I usually don’t ask this question, as it is rarely relevant to the decision to activate the cath…
A man in his 50s with acute chest pain and history of prior MI
Written by Pendell Meyers A man in his 50s with prior history of anterior MI with LAD stent presented with acute chest pain similar but more…
Acute aphasia. What is the likely etiology?
A 60-something man without significant past history presented after sudden onset of aphasia 45 minutes prior. There was also a…
A man in his 30s with greater than 12 hours of chest pain
Written by Bobby Nicholson MD, with edits by Meyers A man in his early 30s presented at 7:35am to the ED with chest pain (7/10)…
A woman in her 40s with acute chest pain
Case written by Neha Ray MD, Brandon Fetterolf MD, and Pendell Meyers MD A woman in her 40s with a history of rheumatoid arthritis, anemia,…
A woman in her 60s with 6 hours of chest pain, dyspnea, tachycardia, and hypoxemia
Case submitted and written by Anonymous, with edits by Meyers and Smith A female in her 60s presented with an ache in her chest that…
H/o MI and stents with brief angina has this ED ECG. And what is Fractional Flow Reserve?
A middle-aged man complained of 15 minutes of classic angina that resolved upon arrival to the ED. Here is his initial ECG: What do you think?…
Christmas Eve Special Gift!! Prehospital Cath Lab Activation: What do you think?
A 60-something male was sent from Dialysis for several days of SOB. He did not know his medical history well. The patient was in no…
I was handed this ECG at triage with no information
I was at triage when this ECG of a 50-something was handed to me. He speaks no English and I really had no idea what his symptoms were, but…
Two cases of ST Elevation with Terminal T-wave Inversion – do either, neither, or both need reperfusion?
Written by Pendell Meyers with edits by Steve Smith I was sent these 2 ECGs with no clinical information other than chest pain: Do either or…