A patient with chest pain and dynamic ST elevation
Written by Pendell Meyers A female in her late 40s presented with chest pain, waxing and waning over the past 24 hours. Her history included…
Anterior ST Elevation with Elevated Troponin, but with low T/ST ratio, 2 Cases
Case 1 This case was sent by Michael Masias (EMCurious, Twitter handle: @EMedCurious), an ultrasound fellow in the Department of Emergency…
Inferolateral ST elevation, vomiting, and elevated troponin
Another post written by Pendell Meyers, with edits from Dr. Smith: A male in his late 40s presented with nausea, vomiting, and epigastric…
Syncope, Shock, AV block, Large RV, “Anterior” ST Elevation….
An elderly male had a syncopal episode. 911 was called. When medics arrived, the patient was alert and following commands.…
Is there excessively discordant ST Elevation in this ECG with Left Bundle Branch Block?
A patient complained of atypical chest pain and cough. Here is his ECG: There is sinus tachycardia at a rate of 120 with LBBB. By…
How to measure ST Elevation at 60 milliseconds after the J-point in lead V3, relative to the PR Segment
The formula for differentiating early repol and anterior STEMI requires one measurement which many have found difficult to understand. Here is…
Classic LV aneurysm (persistent ST elevation after previous MI)
70 yo with h/o MI, recent CABG, has acute onset of chest pain. What are the worrisome EKG findings, and what is the differential diagnosis?…