OMI? Subendocardial ischemia? Does it matter in this clinical context?
Written by Pendell Meyers A woman in her 70s with known prior coronary artery disease experienced acute chest pain and shortness of…
A 40-something with 100 minutes of chest pain
I was reading ECGs on the system, and saw this one: What do you think? I knew that, if the patient had presented with chest discomfort, that…
Anaphylaxis, chest pain, and ST elevation in aVR
Sent by anonymous, written by Pendell Meyers A man in his late 40s presented to the ED with concern for allergic reaction after…
A woman in her 70s with chest pain
Submitted and written by Quinton Nannet, MD, peer reviewed by Meyers, Grauer, Smith A woman in her 70s recently diagnosed with COVID was…
A man in his late 40s with chest pain
Written by Pendell Meyers with edits by Smith A man in his late 40s with no known medical problems was at work when he suddenly…
Why do we liberally record ECGs? And what do you think the angiogram showed?
A 40 something complained of 1 week of constipation and eructation after a “bad batch of enchiladas.” He stated all of this…
A man in his 50s with acute chest pain and diffuse ST depression
Submitted by Alex Bracey, with edits by Meyers and Smith A man in his 50s with history of type B aortic dissection with prior TEVAR…
What do you think the echocardiogram shows in this case?
A 60-something man presented by EMS with 5 hours of fairly typical sounding substernal chest pain. Here is the EMS ECG: Obviously…
Guess the culprit with ST Elevation in posterior leads
A middle aged man had off and on chest pain for 2 weeks, then 2 hours of more severe and constant pain. Here was his ED ECG, which was…
An elderly man with sudden cardiogenic shock, diffuse ST depressions, and STE in aVR
Written by Pendell Meyers 84 yo M with history of a “valve problem” presented for sudden onset chest pain and trouble breathing while eating…