Pericarditis, or Anterior STEMI? The QRS proves it.
A young otherwise healthy man presented with 4 hours of sharp 10/10 substernal chest pain. It has been constant since then. He…
Chest pain and ST-segment Elevation
This was provided by Casey Parker at Broome Docs Blog, with permission. A 23 year old presented with pleuritic left chest pain radiating to…
Chest pain, tachycardia, diffuse ST elevation. What is the diagnosis?
First, I want you to see the ECG without a lot of clinical information: this 45 year old male presented with left chest pain: What…
Without reciprocal ST depression or hyperacute T’s, inferolateral MI and myo- or pericarditis are impossible to distinguish
A 63 y.o. female with a past medical history of lupus and MS presents with chest pain and SOB she has never had before, starting…
Transient STEMI, serial ECGs prehospital to hospital, all troponins negative (less than 0.04 ng/ml)
This is a 45 yo male who had an inferior STEMI 6 months prior, was found to have severe LAD and left main disease, and was supposed to be set…
Is it MI or pericarditis?
I had a recent comment on this post, which was put up 7 years ago (850 posts since then!). I was reminded of it. And so I thought…
Inferolateral ST elevation might be pericarditis, but not with Reciprocal ST depression in aVL
This 47 yo male with 2 risk factors had onset of substernal CP while watching TV and smoking a cigarette. It felt “sharp” as if…