Five Lessons from a Misleading ECG
This was written by Emerson Floyd, with comments by Smith I first saw this this ECG (#1) when I woke up to a text message a fellow EM…
Chest pain with acute RBBB: just another NSTEMI?
Written by Jesse McLaren, with comments from Smith A 75 year old with a previous MI and ischemic cardiomyopathy presented with 6/10 chest and…
A subtle ECG and a subtle angiogram
Written by Willy Frick A man in his early 40s with no past medical history experienced acute onset crushing chest pain and dyspnea. The chest…
What is this Pattern? Is an initial troponin I of 45 ng/L diagnostic?
A middle aged male presented with acute chest pain. He was seen by Emily Dawra, one of our 2nd year EM residents, about to become 3rd year in…
Everyone sees ST depression, but what does it mean?
Written by Willy Frick A man in his 70s with hypertension and type 2 diabetes mellitus presented with chest pain which awoke him from…
Even in retrospect, no one could see it.
This was sent to me by a former resident who is outstanding at reading ECGs for OMI. “Hi Steve wonder what you think of this ecg in a 60…
Should we wait for troponin when the ECG does not show “diagnostic” ST Elevation?
Written by Willy Frick A 52 year old man with hypertension, dyslipidemia, and seropositive rheumatoid arthritis (a risk factor for CAD)…
“The dye don’t lie” …except when it does. Angiogram Negative, or is it?
Written by Willy Frick See the fascinating discussion on X started by this post. Link below. A 40 year old woman was at home…
Which of these, if either, is OMI? Which of these underwent emergent angiography and PCI? Which should have?
Sent by anonymous, written by Pendell Meyers Case 1: A man in his 50s presented with acute chest pain. Normal vital signs. Here is his…