A woman in her 40s with palpitations and chest pressure of unusual etiology
Submitted and written by Magnus Nossen MD from Norway, with some minor edits by Meyers and Smith A female in her 40s with no known cardiac…
Chest pain with ventricular paced rhythm – will you be able to rise above the STEMI paradigm and figure out what to do?
Submitted by Marie Wofford MD and Mark Kastner MD, edits by Smith and Meyers An 86 year old with prior history of CAD and PCI, aortic…
“Pay me now, or pay me later”
This patient presented with acute pulmonary edema without chest pain. A bit of history prior to showing the ECG: The patient had been…
Barcelona Rule on Left Bundle Branch Block: Lots of Issues.
By the time we read the paper on the Barcelona rule, it was too late to write a letter to the editor or a commentary. So we are posting it…
Acute coronary occlusion seen in paced *and* non-paced ECGs
This was written by Brooks Walsh @BrooksWalsh, an emergency physician in Connecticut. A paced ECG The family of a very elderly person called…
Cardiologists need to keep an open mind and be capable of listening to, and learning from, the Emergency Physician
This was sent by a reader. He wanted to remain anonymous but also wanted to express appreciation for the great job his 4th year resident…
A woman in her 70s with bradycardia and hypotension
Submitted by Anonymous, written by Pendell Meyers A woman in her 70s with HTN and DM had been experiencing lower chest / upper epigastric pain…
A 50-something with 5 hours of typical chest pain and Left Bundle Branch Block
This case was texted to me by one of our residency graduates, and with the outcome, so I don’t know how I would have interpreted it…
Can you see through this paced rhythm?
Written by Pendell Meyers An elderly female with known CAD and multiple stents, pacemaker, stroke, and COPD presented with 2 hours of…
A 70-something with Ventricular Paced Rhythm and Chest Pain
A 70-something presented with stuttering chest pain for a couple days that became constant shortly before presentation to the ED. I was shown…