Do we need serial ECGs for this case of chest pain?
From Drew Williams A 40-something patient called 911 for 30 minutes of left sided chest pain radiating to right arm/shoulder (Smith aside:…
Why you should use the Queen of Hearts and record serial ECGs more often. If you wait for troponin…..
This was sent to me by a French colleague, Olivier Peyronie “Yesterday we received a 62 yo man with diabetes, hypertension and smoker.…
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…
Chest pain and new regional/reciprocal ECG changes compared to previous ECGs: code STEMI?
Written by Jesse McLaren A 45 year old presented with two weeks of recurring non-exertional chest pain, now constant for an hour.…
This ECG was texted to me after the fact with no information. What do you think?
This ECG was texted to me with no other information, with this quote: “You will see this in the Queen of Hearts.” I assumed…
Do these Serial Prehospital ECGs show OMI?
A 50-something male with a history of hypertension called 911 after sudden onset chest pain in the middle of his chest radiating up to his…
A 41 year old with chest pain and a Nondiagnostic Triage ECG. Thrombolytics prior to transfer for PCI.
This was sent by Tom Fiero, from Merced CA, and an avid reader of the blog. “A 41 yo man presented with sudden severe chest pain, onset…
A 40 yo with Chest pain. Only ECG abnormality is minimal ST depression in I and aVL (computer interpretation: normal)
A former resident sent this. He asked: “Hey Steve, Wanted to get your thoughts on this EKG:” What do you think? The computer…
This ECG was shown to the doctor with no clinical information
Written by Pendell Meyers, with edits from Steve Smith I was charting at my computer on a busy overnight shift when a triage ECG was placed…
Serial ECG recordings are essential: paramedic makes a great call!
This case was sent by Andrew, an Intensive Care Paramedic from Melbourne, Australia. Case We were dispatched to a female in her 50’s who…