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…