What happens when a clinic does not have troponin testing for chest pain patients? Stress testing?
Written by Willy Frick — Commentary added below on 6/4/2025 by Ken Grauer regarding ETT A 90 year old man with history of hypertension,…
See What the Queen of Hearts could do in these 2 Rural Cases
You too can have the Queen of Hearts AI model Case 1. Case 1 is another case sent by and written by the undergraduate who works as an…
Chest pain one day after a negative stress test
Written by Dominic Nicacio MD, with edits by Pendell Meyers and Steve Smith A man in his early 50s with known CAD and prior stent…
Chest pain, a ‘normal’ ECG, a ‘normal trop’, and low HEART and EDACS scores: Discharge home? Stress test? Many errors here.
Written by Jesse McLaren, with comments from Smith and Grauer A 60 year old presented with three weeks of intermittent non-exertional chest…
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…
Intermittent increasing exertional chest pain and serial negative troponins
I was shown this ECG at triage, recorded on a patient with a chief complaint of chest pain, where I was working: What do you think? My…
Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equations — A Case from Salim Rezaie (R.E.B.E.L. EM)
This case is posted by Salim Rezaie (@srrezaie) Chest Pain, “Negative” Stress Tests, POCUS, & ECG Equations It has some peer review by me…
Huge Precordial ST Elevation in an ED Patient
This was sent by Twitike Nthakomwa, a medical officer from Malawi who knows a lot about ECGs. Here is a 50-something patient who…
Transient Inferior OMI, with RV OMI, missed. It became obvious on a near fatal stress test.
A middle-aged woman with a history of hypertension presented with typical chest pain. Her BP was 160/80. Here was her presenting…