A man with chest pain off and on for two days, and “No STEMI” at triage.
Written by Kaley El-Arab MD, edits by Pendell Meyers and Stephen Smith A 61-year-old male with hypertension and hyperlipidemia presented…
Two ECGs texted to me in the same hour. What would you recommend?
Written by Pendell Meyers Both of these cases were sent to me with no information other than adults with acute chest pain. What would be your…
Another myocardial wall is sacrificed at the altar of the STEMI/NonSTEMI mass delusion (and Opiate pain relief).
I received the following text message with these 3 EKGs (providers text me ECGs all day every day; most are false positives; many are subtle…
A man in his early 40s with chest pain a “normal ECG” by computer algorithm. Should we avoid interrupting a physician to interpret his ECG?
Written by Pendell Meyers A man in his early 40s experienced acute onset chest pain. The chest pain started about 24 hours ago, but there was…
A man in his 70s with acute chest pain and paced rhythm.
Sent by Pete McKenna M.D. Edits by Meyers and Smith A man in his 70s with PMH of hypertension, hyperlipidemia, type 2 diabetes,…
Compare these two ECGs. Do either, neither, or both show anything important?
One case sent by Dr. Sean Rees MD, written by Pendell Meyers, other case by Sam Ghali and Steve Smith Take a look at these two ECGs below from…
Off and on chest pain for 24 hours in a 50s year old man
Submitted by Ali Khan MD and James Mantas MD, MS, written by Pendell Meyers A man in his 50s with history of diabetes, hypertension, and…
85 year old with chest pain, STEMI negative, then normal troponin but with relatively large delta: discharge?
Written by Jesse McLaren, with comments from Smith. An 85 year old with a history of CAD presented with 3 hoursof chest pain that feels like…
Watch what happens when you teach others how to find OMI
Submitted by Dr. Caio Aguiar from Brazil, written by Pendell Meyers It is immensely rewarding to receive these emails, like I received…