OMI Can be Diagnosed by “Pseudonormalization of ST Segments”
This post was written by Tarissa Lai, one of our outstanding EM residents at Hennepin County Medical Center, with comments by Steve…
You have two hours to save this patient’s life
Written by Pendell Meyers, edits by Steve Smith A female in her 60s with history of CAD s/p PCI and CABG, alcohol abuse, and recurrent…
Right Bundle Branch Block and ST Depression in V1-V3. Is that normal? And a complication.
A late middle-aged male with h/o 3 vessel bypass (CABG), type 2 diabetes, peripheral vascular disease, DVT, Chronic Kideny Disease, and…
Chest pain and Concordant ST Depression in a patient with aortic valve and previously normal angiogram
60-something presents with acute onset of chest pain. His pain was accompanied by shortness of breath. It awoke him from sleep.…
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…
A Non STEMI that needs the cath lab now.
A male in his 60’s called 911 for chest pain. He had some cardiac risk factors including hypertension, on meds, but no previous…
Male in his 50’s resuscitated from ventricular fib and comatose
After resuscitation, he had this ECG (the rhythm is interesting, too): There is sinus rhythm but the sinus rate is somewhat irregular…
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…
Middle Aged Male with Chest Pain and Previous MI
A middle aged male with h/o CAD presented with chest pain. He had a recent previous stent in the circumflex. Here is the ECG at…