“It isn’t a STEMI,” so cath lab refusal (again). Were they right?
Sent by Anonymous, written by Pendell Meyers An elderly female called EMS for acute epigastric pain. EMS arrived and recorded this ECG on the…
Guess the culprit with ST Elevation in posterior leads
A middle aged man had off and on chest pain for 2 weeks, then 2 hours of more severe and constant pain. Here was his ED ECG, which was…
A man in his 60s with chest pain. The ST segments and T waves are ALWAYS interpreted in the context of their QRS.
Written by Pendell Meyers A man in his 60s with history of CAD, CABG, HTN, DM, and smoking presented with chest pain,and shortness of breath…
How much time are you willing to wait for OMI to become STEMI (if it ever does)?
Written by Pendell Meyers, few edits by Smith A man in his 60s with history of stroke and hypertension but no known heart disease presented…
A completely healthy 30-something woman with acute chest pain — this post is loaded with info !!!
A previously healthy young woman presented to the ED with one hour of acute onset right sided chest pain and pressure, very severe, radiating…
A middle aged man with ST depression and a narrow window of opportunity
Written by Pendell Meyers I received a text at 18:13 of an ECG taken several minutes prior, with no clinical information and only the question…
Right precordial ST depression in a patient with chest pain
This case comes from Sam Ghali (@EM_RESUS). Thanks, Sam! A 70-year-old man calls 911 after experiencing sudden, severe chest…
Beware confusing the diagnosis of posterior STEMI by using posterior leads…
Or at least understand their limitations!! This patient had chest pain and this ECG: There is no significant ST elevation. But there is…
Precordial ST depression. What is the diagnosis?
A middle aged male with no h/o CAD presented with one week of crescendo exertional angina, and had chest pain at the time of the…
Posterior Leads Fail to Diagnose Posterior STEMI
For more cases of posterior MI: https://drsmithsecgblog.com/search/label/posterior%20STEMI A 54 year old male with recent angiogram that…