What happens when you give morphine for chest pain in ACS? And what is pseudo-normalization of T-waves?
Written by Magnus Nossen, with edits by Smith The patient in today’s case is a 70-year-old farmer. He has a history of coronary artery…
‘NSTEMI’ or reperfused OMI? And which lesion is the culprit?
Written by Jesse McLaren An 80 year old with a history of CHF, ESRD on dialysis, and multiple prior cardiac stents presented to the…
Dizziness in a 40-something with recent stent for inferior OMI
Dizziness is so unlikely to be OMI without an obvious ECG, that I am going to pretend that this patient presented with chest pain. The…
The Computer and Overreading Cardiologist call this completely normal. Is it?
This is another case sent by the undergraduate (who is applying to med school) who works as an EKG tech. The undergraduate is now…
Chest pain with serial ECGs – can you guess the sequence?
Written by Jesse McLaren A 45-year-old presented with 24 hours of intermittent chest pain. Below are serial ECGs focusing on the…
On its way from occlusion to reperfusion (or vice versa), the ECG can be normal or near normal
Written by Pendell Meyers I was reading ECGs in a database (without any clinical information) when I came to this one: What do you think?…
When Normal is only Pseudo-Normal, it can deceive the caregivers.
An Aussie friend down under sent me this case. A 70-something male presented with sharp stabbing central CP. Here is the initial…
A 49 year old man with chest pain. Is it OMI? is it pseudonormalization?
Written by Pendell Meyers Before we get to the whole case, let’s interpret this ECG without any other context except to say that…