Chest pain with acute RBBB: just another NSTEMI?
Written by Jesse McLaren, with comments from Smith A 75 year old with a previous MI and ischemic cardiomyopathy presented with 6/10 chest and…
Even OMI that are STEMI are missed, and called “Not a STEMI”
A 40-something woman with no previous medical history presented in the wee hours with 4 hours of chest pain. The pain had been intermittent…
75 year old with acute chest pain: 6 bad reasons not to cath.
Written by Jesse McLaren, edits by Smith A 75 year old without cardiac history presented to the emergency department with 3 hours of acute…
Never send a chest pain patient home without measuring troponin. What is masquerading bundle branch block? And, and, and….
Written by Hans Helseth, with edits and comments by Smith and Grauer An 84 year old man with chronic hypertension and CKD presented to a…
What happens when you give morphine for chest pain in ACS? And what is pseudo-normalization of T-waves?
Written by Magnus Nossen, with edits by Smith The patient in today’s case is a 70-year-old farmer. He has a history of coronary artery…
What factor determines final diagnosis of STEMI vs. NSTEMI? Is it ST Elevation? Occlusion? or Something else? What?
The answer is at the bottom, and illustrated by this case. Written by Willy Frick A man in his mid 30s with type 1 diabetes presented…
The Computer and Overreading Cardiologist call this completely normal. Is it?
This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech. The undergraduate is now…
Three prehospital ECGs in patients with chest pain
Written by Magnus Nossen with Edits by Grauer and Smith The ECGs in today’s case are from 3 different patients all presenting with new-onset…