75 year old dialysis patient with nausea, vomiting and lightheadedness
Written by Jesse McLaren A 75 year-old patient with diabetes and end stage renal disease was sent to the ED after dialysis for three…
A woman in her 50s with chest pain and lightheadedness and “anterior subendocardial ischemia”
Written by Pendell Meyers A woman in her 50s presented with acute chest pain and lightheadedness since the past several hours. Here is…
A man in his 70s with weakness and syncope
Written by Pendell Meyers A man in his 70s with no cardiac history presented with acute weakness, syncope, and fever. He denied chest…
I was reading ECGs on the system when I came across this one, called “normal” by the conventional computer algorithm
I come in early for every shift to read the ECGs on the system that have not yet been “confirmed”. I came across this one:…
A man in his 50s with acute chest pain who is lucky to still be alive.
Sent by Magnus Nossen MD, written by Pendell Meyers A man in his 50s, previously healthy, developed acute chest pain. EMS was called,…
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…
Active chest pain. Fake? or Inferior OMI? Hyperacute T waves?
Written by Pendell Meyers A middle aged man called EMS for acute chest pain. EMS recorded this ECG during active symptoms and transmitted it…
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…
75 year old with 24 hours of chest pain, STEMI negative
Written by Jesse McLaren A 75 year old with a history of CABG called EMS after 24 hours of chest pain. HR 40, BP 135/70, RR16, O2 100%.…