A 33 year old male with acute back pain radiating to the chest
Written by Pendell Meyers, with edits by Steve Smith Case I was called to the EMS control room to answer an RMA (Refusal of Medical Advice).…
Waxing and Waning Chest Pain
A male in his 50s presented with Chest pain on and off during the day. At the time of presentation, he had only some jaw pain. An…
A Non STEMI that needs the cath lab now.
A male in his 60’s called 911 for chest pain. He had some cardiac risk factors including hypertension, on meds, but no previous…
Male in his 50’s with chest discomfort
A male in his 50’s with a history of type I DM was riding his bike to work when he developed squeezing chest pressure and a sensation…
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…
12 hours of Chest pain in a 40-something
A 40-something yo woman with several coronary risks but no history of coronary disease developed 10/10 “gnawing” retrosternal…
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…
Very Subtle Inferior STE elevation seen only on 2nd ECG done 42 minutes later; Non STEMI with RCA occlusion
I’m having difficulty with the blogger software. It won’t let me place the ECG where I want it, so just know that the top ECG is…
Coronary occlusion need not have 1 mm ST elevation; often it does not
A 53 year old male with no previous cardiac history presented with sudden substernal chest pain with tingling of bilateral arms and dyspnea.…
Pseudonormalization of T waves, Coronary occlusion without 1 mm ST elevation
See 6 even better cases of T-wave pseudonormalization here. Here is another case. Do not miss this one: A Middle-Age Male with Chest…