60 yo with chest pain: why the abnormal QRS and abnormal repolarization?
Written by Pendell Meyers A man in his 60s presented with acute chest pain and normal vital signs. Here is his triage ECG: What do you…
A man in his 80s with chest pain and ventricular paced rhythm
Written by Pendell Meyers, with edits by Smith A man in his 80s presented with acute chest pain and normal vital signs. Here is…
Which of these, if either, is OMI? Which of these underwent emergent angiography and PCI? Which should have?
Sent by anonymous, written by Pendell Meyers Case 1: A man in his 50s presented with acute chest pain. Normal vital signs. Here is his…
A man in his 50s with unwitnessed VF arrest, defibrillated to ROSC, and no STEMI criteria on post ROSC ECG. Should he get emergent angiogram?
Written by Pendell Meyers A man in his 50s was found by his family in cardiac arrest of unknown duration. His family started CPR and called…
VF arrest at home, no memory of chest pain. Angiography non-diagnostic. Does this patient need an ICD? You need all the ECGs to know for sure.
Written by Willy Frick A man in his 50s was at home with his family when they heard a thud and rushed into the room to find him unconscious…
Early repol or anterior OMI?
Chest Pain – Benign Early Repol or OMI? Written by Destiny Folk, MD, Adam Engberg, MD, and Vitaliy Belyshev MD A man in his early 60s with a…
Two prehospital ECGs of patients with chest pain.
Written by Pendell Meyers and Steve Smith Here are two cases of middle-aged men with chest pain who had prehospital ECGs. Patient 1, ECG 1:…
Chest pain, resolved. Does it need emergent cath lab activation (some controversy here)? And much much more.
A 50-something male with hypertension and 20- to 40-year smoking history presented with 1 week of stuttering chest pain that is worse…
EMS told “Not a STEMI”. What do you think?
Written by Pendell Meyers A woman in her 70s had acute chest pain and called EMS. On arrival, EMS recorded relatively normal vital…
Quiz post: 2 similar patients with similar ECGs. Which, if any, or both, are OMI? Will you outperform the Queen of Hearts?
Written by Pendell Meyers Two adult patients in their 50s called EMS for acute chest pain that started within the last hour. Both were…