Viral symptoms, then acute chest pain and this ECG. What do you do?
A late 30’s male presented with fever, sore throat, headache, vomiting, and body aches (“bones hurting”) for 2 days. He…
Teenager with chest pain and slightly elevated troponin. What happens then?
This is a previously healthy male teenager who was awoken by chest pain. He was seen at another hospital and found to have a…
What does this ECG with significant ST Elevation represent?
These 2 serial ECGs were texted to me recently. They were recorded 12 minutes apart: “Hey Steve, 30-something with one week of…
A 20-something male with acute chest pain
I was texted this ECG with the words “sudden onset CP in a 20-something”: What do you think? This was my response: “This is…
Anterior ST Elevation with Elevated Troponin, but with low T/ST ratio, 2 Cases
Case 1 This case was sent by Michael Masias (EMCurious, Twitter handle: @EMedCurious), an ultrasound fellow in the Department of Emergency…
A young man with sudden chest pain
A 30-something with history of 2 pack per day smoking complained of sudden left arm and chest pain while working construction. It was…
A Young Woman with Chest Pressure and Subtle, Focal ST Elevation/Depression
A very healthy woman in her 20’s (who, however, is a heavy smoker) presented with 4 days of waxing and waning substernal chest pressure…
A 29 year old male with pleuritic chest pain for 6 hours
This case was sent to me by Taylor Sanders of the LSU- Baton Rouge Emergency Medicine residency. A 29 year old complained of 6 hours of…
An 8 year old with diarrhea, abdominal pain, and syncope
This case was sent by: Maria Perez Emergency Registrar Monash Medical Centre Melbourne She obtained permission from the family to identify the…
Inferior and Lateral ST Elevation and A Positive Troponin
A young woman presented with substernal chest pain described as both crushing and stabbing, with radiation to the jaw and left arm and…