Chest pain in a middle-aged male
A middle-aged male presented with acute onset of typical ischemic type chest pain. Here is his initial ECG: What do you see? He had a previous…
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…
Chest Pain in a Male in his 20’s; Inferior ST elevation: Inferior lead “early repol” diagnosed. Is it?
A 20-something male presented from an outside facility with Chest pain. Vital signs were normal. History: Onset of CP 2.5 hours prior to…
A Tough ECG, But Learn From It!
I have to tell this story from my point of view because I don’t want anyone to think that the recognition of LAD occlusion was made in…
Chest pain in an 80 year old: What is the diagnosis?
An 80 year old male with h/o CABG presented with CP. Here is his initial ECG (which was identical to his prehospital ECG) at 1517: There…
Subtle Anterior Transient Injury Pattern, Not Appreciated, LAD occlusion spontaneously reperfused
This 41 yo male was cleaning using a chemical and experienced sudden substernal chest burning radiating to both arms with SOB, relieved by…
Subtle Inferoposterolateral OMI, sent home!!
This ECG comes from Tom Bouthillet, who is devoted to good STEMI care, runs the EMS12lead ECG site, and who has also produced an outstanding…
Missed Acute MI, with coronary occlusion, evidence only by T-wave inversion in V2 and evolving ST depression in V3
A 39 yo otherwise healthy man with no risk factors was walking at the mall when he developed chest pressure. He presented to the ED…
Missed STEMI, spontaneously reperfused
Click here for other very instructive cases of missed STEMI. This is a 48 yo female with no risk factors for CAD had sudden onset of arm…