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…
Septal STEMI with lateral ST depression, then has collateral reperfusion resulting in Wellens’ waves
A middle-aged male presented with 1.5 hours of 8/10 chest pain associated with diaphoresis and vomiting. He has a prior history of…
Wellens’ syndrome, no culprit, what happened?
A 55 yo male with h/o smoking complained of 4 days of intermittent chest pain lasting up to a few hours each day. He presented to the ED…
Is it STEMI or Non STEMI? What you call it has consequences.
This 53 yo male with no cardiac history developed chest pain 12 hours prior to admission. It was coming and going, waxing and waning,…
Wait until after the ECG to give Nitroglycerine
Here is the ED ECG of a 58 yo male whose chest pain is resolved: There is sinus rhythm with a PAC (which has aberrant conduction…
Stuttering thrombus in the LAD, dynamic hyperacute T-waves, Q-waves, full resolution at 3 months
A 70 y.o. woman who presented with L arm pain that started at 6:45 in the morning when she woke up. Pain was also in the upper…
Dyspnea, resp failure, DNR/DNI, what to do?
79 yo patient with no known previous history of MI and a history of severe dementia presented with acute dyspnea, pulmonary edema, BP 110/70…