A Middle-Aged Man with crescendo angina
A middle-aged male with several comorbidities including DM presented with chest pain. It had been on and off all day, then constant for…
A male in his 60s with chest pain
Case sent in by Alex Bracey, written by Pendell Meyers, edited by Smith: A male in his 60s woke up from sleep with chest pain radiating to the…
A Very Subtle LAD Occlusion….T-wave in V1??
This was sent by a former resident. Our residents get a 34 hour ECG course from me over their 3 years, and they often see things I…
Incredible Case Demonstrating the Value of Frequent Serial ECGs
This case is presented and written by Vince DiGiulio, (EMT-Critical Care and emergency department tech). As his title shows, he is…
Man in his 60’s with very subtle ECG and pain not controlled with medical therapy
A male in his 60’s presented 30 minutes after the onset of crushing substernal chest pain. Medics recorded 2 ECGs, one before and…
Series of Prehospital ECGs Showing Reperfusion
Medics recorded this ECG at time 0 in a patient with chest pain: There are inferior hyperacute T-waves, with reciprocally inverted hyperacute…
Prehospital Serial ECGs demonstrate repeated Reperfusion and Reocclusion
A 78 yo male had a syncopal event and complained of chest pain. Here are 9 prehospital ECGs during transport: 0 minutes, nondiagnostic 4…
Intermittent third degree heart block due to stuttering inferior STEMI
A 71 year old male complained of near syncope and SOB without any chest pain. His pulse was slow. He was put on the monitor. …
Chest pain in an 80 year old: What is the diagnosis?
An 80 year old male with h/o CABG presented with CP. Here is his initial ECG (which was identical to his prehospital ECG) at 1517: There…
Serial ECGs confirm initial suspicion of anterior STEMI (LAD occlusion)
A 52 yo man began having substernal chest discomfort and presented 2 hours later. His prehospital ECG, which I cannot find, reportedly…