circumflexCT scannormal ECGobtuse marginal6 Min Read Steve SmithonSeptember 27, 2019 Chest pain with NonDiagnostic ECG but Diagnostic CT Scan An elderly woman presented with chest pain that radiated to the back for several hours. Here is here initial ECG: There is only a nonspecific…
echocardiogramobtuse marginalsubtle2 Min Read Steve SmithonFebruary 21, 2013 Extremely Subtle ECG, but Bedside Echo Shows Wall Motion Abnormality and Ischemic Pain Cannot Be Controlled Medically A male in his 40’s with no previous cardiac history had presented to a clinic recently with chest burning, had a nondiagnostic ECG, and…
obtuse marginalsubtle2 Min Read Steve SmithonNovember 21, 2012 An Emergency Physician Texted Me This ECG, Asking for Help in Interpretation and for Advice in Management I was in a meeting and received a text message: “can you look at an ECG?” I texted back to take a photo and send it. The…
circumflex occlusionmissed STEMIobtuse marginalOcclusion with less than 1mm ST ElevationST depressionSTEMI vs. NonSTEMIsubtleV3 ST depression3 Min Read Steve SmithonSeptember 6, 2011 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…