Serial ECGs for chest pain: at what point would you activate the cath lab?
Written by Jesse McLaren A healthy 75 year old developed 7/10 chest pain associated with diaphoresis and nausea, which began on…
What do you think of this “Ventricular Bigeminy”?
Written by Bobby Nicholson MD, with edits by Meyers A woman in her 50s with past medical history of heart failure, prior stroke, atrial…
A man in his 60s with chest pain. Cardiologist refuses to take to the lab. Obvious STEMI, even with criteria. Yet final diagnosis “NSTEMI”. This happens far too often.
Submitted by Anonymous MD, edits by Meyers A man in his 60s with past medical history of multiple sclerosis and hypertension was brought in by…
A 60 year old man with chest pain — many fascinating aspects to this ECG
Written and submitted by Lucas Goss MD, peer reviewed by Smith, Meyers, Bracey A 60-year old man with history of CAD and prior stents to the…
What is this rhythm? Is there AV block?
Case written and submitted by Elzada Sercus M.D., peer reviewed by Pendell Meyers, Steve Smith, and Ken Grauer A 31-year-old female with a…
Anterior STEMI and multiform PVCs with Narrow Coupling Interval. When to give beta blockers in acute MI?
A middle-aged male had 45 minutes of chest discomfort and drove to the ED. He has a history of hyperlipidemia. No previous…
Hyperacute T-waves and Concordant ST Elevation seen in PVCs only
This comes from Steffen Grautoff, who is an Emergency Physician and Cardiologist who works on the Emergency Vehicles in the Northwest of…
Look at the PVCs (again)!!
An elderly woman awoke with bilateral upper chest pressure and SOB. She called 911. Here is the first prehospital ECG: Sinus…
Look at the PVCs!!
An elderly woman presented with chest pain. She was hemodynamically stable. Here is her initial ECG: There is bigeminy. …
STEMI Seen Best in PVC, Diagnosed by Medic, Ignored by Physician
This is a male in his 50’s who was lying face down on the pavement stating that his chest was “killing him.” He stated…