CT Coronary Angiogram (CTCA)pericarditis perilpericarditis-NOTreperfusionyoung9 Min Read Steve SmithonOctober 15, 2025 A 24 year old with chest pain — What happened? This was written up by one of our superb EM/IM residents, Emily Syverud. A 24-year-old man presented to the ED early in the morning with…
diffuse ST ElevationHyperacute T-waves LADLAD occlusionLAD reperfusionOMIpericarditispericarditis-NOTSubtle LADSubtle LAD Occlusion7 Min Read Pendell MeyersonFebruary 12, 2022 A man in his 50s with “no reciprocal ST depression” and “diffuse” ST elevation. What does diffuse actually mean? Written by Pendell Meyers EMS called in while I was on shift and asked me to review an ECG of a man in his 50s with acute chest pain and…
computerLAD occlusionlateral STEMINormal ECG by computer algorithmOMIOMI with initial negative troponinpericarditis-NOTq-wavesSTEMITriage ECGTriage Occlusiontroponin11 Min Read Pendell MeyersonAugust 8, 2020 A middle aged female with “heartburn” and a “normal ECG” per the computer This is a re-posting of a Tweet by Robert Jones (@RJonesSonoEM), reproduced with permission, written by Pendell Meyers A middle aged female…
Aortic Dissectionnormal variant ST Elevationpericarditis-NOT9 Min Read Pendell MeyersonDecember 13, 2019 “Pericarditis” strikes again Written by Pendell Meyers A man in his late 40s with several ACS risk factors presented with a chief complaint of chest pain. Several…
early repolarizationnormal variant ST Elevationpericarditis-NOT3 Min Read Steve SmithonApril 19, 2019 A Young Man with Sharp Chest pain Suppose this patient had chest pain. What would you diagnose? What is the diagnosis? OK. I lied, just so you could assess your…
Alcohol bingepericarditis-NOTwraparound LADYoung Women3 Min Read Steve SmithonMay 23, 2013 24 yo woman with chest pain the morning after binge drinking: Is it Pericarditis? A 24 yo with no past medical history and no risk factors except for tobacco smoking presented with chest pain. The pain started in her…