Tachycardia and ST Elevation.
This Case was sent from Anonymous. A middle-aged patient was sent to the ED with tachycardia. He denied any sensation of palpitations, but his…
Test yourself: how many hours between your diagnosis of OMI and positive STEMI criteria?
Written by Pendell Meyers, with edits by Steve Smith A male in his early 40s presented with intermittent chest/abdominal pain. He admitted to…
Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equations — A Case from Salim Rezaie (R.E.B.E.L. EM)
This case is posted by Salim Rezaie (@srrezaie) Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equations It has some peer review by me…
Shoulder pain after lifting a heavy box
Written by Pendell Meyers, edits by Steve Smith This will be too easy for most long-time readers, but if you are at that level, sit back and…
ST Elevation and QS-waves in a patient with Dyspnea
I was shown this ECG of a patient with dyspnea: My interpretation: “Subacute STEMI” In other words, STEMI of at least 6 hours…
Chest Pain, ST Elevation, and an Elevated Troponin: Should we Activate the Cath Lab?
This was written by Sam Ghali (@EM_RESUS), with a few edits by me. 52-year-old lady presents to the Emergency Department with 2 hours of chest…
Subtle Anterior STEMI Superimposed on Anterior LV Aneurysm Morphology
A male in his early 30s was playing soccer when the ball hit him in the chest. At some point after this, he began having chest pain.…
Is this acute STEMI? LV Aneurysm? Would you give Thrombolytics?
Recently I posted a case describing “Acuteness” on the ECG and how to assess whether it is too late for reperfusion, especially…
ST elevation and QS-waves. ECG is equivocal. Use ED Echo!!
A male in his 50’s with history of CAD, Diabetes, AAA with repair, and HTN presented for chest pain. He complained of left-sided…
ST Elevation: is it due to old MI (LV aneurysm) or to acute STEMI?
A middle aged male was resuscitated from cardiac arrest (ventricular fibrillation). Here is his initial ECG. He was hypotensive.…