Two patients with RBBB
Case 1. A 60-something woman presented with dyspnea. She had a history of chronic respiratory disease and hypoxia, but hypoxia was no…
Sudden Cardiac Arrest: why does the Heart Just Die?
A 60-something was outside walking with a friend when he suddenly stated that he “felt weak,” without chest pain or SOB or…
What happens when you don’t recognize an OMI?
This was sent by an “avid reader.” The case was from his hospital, which does not have a cath lab. Case A 60-something male…
Doctor, should we activate the hospital’s “STEMI alert”?
Written by Pendell Meyers I received this prehospital ECG (we receive prehospital ECGs by telemetry from EMS in a large area around our…
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…
How long would you like to wait for your Occlusion MI to show a STEMI? Sometimes serial ECGs minimizes the delay.
Written by Pendell Meyers An elderly woman presented with acute onset chest pain and shortness of breath. EMS showed us their ECG on arrival…
The delay between OMI and STEMI claims yet another patient’s anterior wall
Written by Pendell Meyers with edits by Steve Smith An elderly woman with HTN presented with L sided chest pain, intermittent over the past…
Three EKGs shown to me – which if any need emergent reperfusion?
Written by Pendell Meyers We commonly get feedback from readers who are skeptical that we can pick out the subtle NSTEMI occlusions from…
An 80 year old man in VF arrest
An elderly man suffered out of hospital cardiac arrest. He was found in V Fib by EMS. He was shocked out of VF multiple times and arrived in…
What will you do for this patient transferred to you who is now asymptomatic?
A middle-aged woman with history of hypertension presented to another hospital approximately 2 hours after onset of chest pain and shortness…