A man in his 50s with hypoxemic respiratory failure from COVID pneumonia develops chest pain
Submitted by anonymous, written by Parker Hambright, MD, peer reviewed by Meyers, Smith, McLaren A man in his 50s with a past medical history…
Why is there inferior ST elevation, and would you get posterior leads?
Written by Jesse McLaren, with comments by Smith and Grauer A 75 year-old presented with 8 hours of epigastric pain and one episode of…
Missing ECG signs of OMI is associated with early death
Written by Sean Trostel MD, with edits by Smith and Meyers A man in his 80s with history of CAD, MI s/p PCI, HTN, HLD, Afib, and HFrEF,…
A man his 50s with chest pain. What happens when you treat with morphine rather than with reperfusion?
Written by Pendell Meyers A man in his late 50s presented to the ED with 3 days of left chest pain radiating into the jaw and neck. He…
A 52 year old female with chest pain
Written by Pendell Meyers, edits by Steve Smith A 52 year old female with history of hypothyroidism and smoking presented to the ED with an…
Ischemic ST depression maximal in V1-V4 (vs. V5-V6), even if less than 0.1 millivolt, is specific for Occlusion Myocardial Infarction (vs. subendocardial non-occlusive ischemia)
This is a case from many years ago that I discovered recently. The patient has heart failure as a result of this event. A 50-something…
You Diagnose Pericarditis at your Peril (at the Patient’s Peril!)
The source of this case is anonymous. A 40 something woman with a history of hyperlipidemia and additional risk factors including a smoking…
A Missed STEMI. How could the Diagnosis have been certain?
A middle aged patient presented to the ED with “ischemic-sounding chest pain” of unknown duration. An ECG was recorded: The…
Missed myocardial infarction with subsequent cardiac arrest
A 50 year old male presented to his physician’s office with “heartburn”. The physician recorded this ECG, interpreted…
Transient Inferior OMI, with RV OMI, missed. It became obvious on a near fatal stress test.
A middle-aged woman with a history of hypertension presented with typical chest pain. Her BP was 160/80. Here was her presenting…