Anatomy of a Missed LAD Occlusion (classified as a NonSTEMI)
A male in his 50’s called 911 for constant 8/10 midsternal chest pressure. Here was his prehospital ECG: Computerized QTc is 423…
All this teaching makes a difference! And a new paper on subtle ST Elevation.
One of my residency grads sent this. A male in his 50’s with h/o CAD presented with 2 days stuttering chest pain (also with nausea,…
I was reading a stack of ECGs yesterday, and saw this one, with no clinical information….
I was reading a stack of ECGs yesterday, and saw this one, with no clinical information: What do you think? (computerized QTc is 429 ms) See…
Male in early 40’s with 1.5 hours of chest pain
A third year medical student sent me this ECG and asked for my interpretation: Recorded 0625 Here is what I wrote back: “Tough…
Sudden Left Trapezius Pain and Syncope
An otherwise healthy middle aged smoker complained of sudden left trapezius pain. He then began to fell very dizzy. He also had…
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…
Chest pain in a middle-aged male
A middle-aged male presented with acute onset of typical ischemic type chest pain. Here is his initial ECG: What do you see? He had a previous…
Chest pain in a patient with previous inferior STEMI. Scrutinize both the ECG and the history!
I was looking through a stack of ECGs (I can’t help myself) and saw this one, which caught my eye: What do you think? Computerized…
Waxing and Waning Chest Pain
A male in his 50s presented with Chest pain on and off during the day. At the time of presentation, he had only some jaw pain. An…
A Non STEMI that needs the cath lab now.
A male in his 60’s called 911 for chest pain. He had some cardiac risk factors including hypertension, on meds, but no previous…