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…
See how bad the outcome can be if you don’t know OMI findings on the ECG, and don’t use the Queen of Hearts
This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech. How is it possible that a…
A man in his 50s with unwitnessed VF arrest, defibrillated to ROSC, and no STEMI criteria on post ROSC ECG. Should he get emergent angiogram?
Written by Pendell Meyers A man in his 50s was found by his family in cardiac arrest of unknown duration. His family started CPR and called…
60 year old with chest pain, STEMI negative. What should the discharge diagnosis be?
Written by Jesse McLaren A previously healthy 60 year old developed exertional chest pain with diaphoresis, and called EMS.…
Two patients with diffuse ST depression and reciprocal ST elevation in aVR: do either/both/neither have Occlusion MI?
Written by Jesse McLaren, with additions from Smith Two patients presented with chest pain with ST elevation in aVR, and the same final ECG…
A 50-something with chest pain. Is there OMI? And what is the rhythm?
Written by Willy Frick A man in his 50s with history of hypertension, hyperlipidemia, and a 30 pack-year smoking history presented to the…
Precordial Swirl — 20 cases of Swirl or Look-Alikes
Pendell (Pendell Meyers, of course), with a little help from Smith, coined a new LAD Occlusion pattern “Precordial Swirl,” in…
A 50 year old with chest pain? What is going on? By Emre Aslanger.
Posted by Emre Aslanger, our newest blog Editor. Emre is a distinguished cardiologist in Turkey, and has published widely on the ECG…