Cath Lab occupied. Which patient should go now (or does only one need it? Or neither?)
This was sent to me by an undergraduate name Hans Helseth, who is an EKG tech, but who is an expert OMI ECG reader. He wrote most of it…
An elderly male with shortness of breath
A 70-something y.o. male presents to triage with shortness of breath. He reports significant chest pain at the base of his scapula on…
Chest pain, resolved. Does it need emergent cath lab activation (some controversy here)? And much much more.
A 50-something male with hypertension and 20- to 40-year smoking history presented with 1 week of stuttering chest pain that is worse…
Off and on chest pain for 24 hours in a 50s year old man
Submitted by Ali Khan MD and James Mantas MD, MS, written by Pendell Meyers A man in his 50s with history of diabetes, hypertension, and…
A man in his 60s with acute chest pain
Sent by anonymous, written by Pendell Meyers A man in his 60s presented with acute chest pain with diaphoresis. He had received aspirin and…
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?…
A man in his 50s with acute chest pain, now resolved, has 2 undetectable troponins. CT Coronary Angiogram?
Written by Pendell Meyers A man in his 50s presented to the ED with chest pain described as pressure, without radiation, acute onset…
A 76 Year Old Female With Recurrent Syncope, Lightheadedness, Palpitations and Negative Stress Test
Written by Lucas Goss MD, peer reviewed by Meyers, Smith, Bracey A 76 year old female with a history of arial fibrillation not on…
A 52 year old female with chest pain
Written by Pendell Meyers, edits by Steve Smith A 52 year old female with history of hypothyroidism and smoking presented to the ED with an…