A 24 year old with chest pain — What happened?
This was written up by one of our superb EM/IM residents, Emily Syverud. A 24-year-old man presented to the ED early in the morning with…
Chest pain 6 days after a negative stress test
This case comes from Cody Pinnow, a 2nd year EM resident who learned EKGs from this blog while working as a cardiac monitor technician, before…
Interns are not (yet) poisoned by the STEMI/NSTEMI paradigm
This case was written up by Kuan-Yu (Evan) Lin with some edits by Willy Frick. I (Willy) had the pleasure of working with Evan when he was a…
If you saw this EKG completely isolated from clinical context, how would you interpret it?
Written by Willy Frick This blog has repeatedly made the point that ECGs must always be interpreted in clinical context. But…
What happens when a clinic does not have troponin testing for chest pain patients? Stress testing?
Written by Willy Frick — Commentary added below on 6/4/2025 by Ken Grauer regarding ETT A 90 year old man with history of hypertension,…
Is it important to try to determine the culprit vessel based on ECG?
Written by Willy Frick A man in his 60s with hypertension and prior stroke presented with three days of crushing chest pain. He reported…
An elderly woman with acute chest pain — real or fake ST Elevation?
Written by Pendell Meyers An elderly female called EMS with acute chest pain. Her vitals were within normal limits, and here is her EMS…
Is this OMI reperfused or active?
These ECGs were texted to me by one of our previous ultrasound fellows, Will Smoot An elderly male arrived via EMS for acute substernal chest…
Acute chest pain and an abnormal ECG. Do precordial leads show benign T-wave inversion or ischemia?
Written by Willy Frick A 51 year old man with hypertension presented with three hours of acute onset, severe midsternal chest pain…