A Man in his 20’s with Syncope. What is diagnosis? And what does the old ECG show?
A young man presented after a syncopal episode. He felt fine in the ED. He had no previous cardiac history, but stated that he…
Subtle ECG, seen well in PVC’s, and 2 arteries are involved.
An elderly female with h/o HTN presented with chest pressure. She awoke with bilateral upper sternal chest pressure and…
Chest pain in an 80 year old: What is the diagnosis?
An 80 year old male with h/o CABG presented with CP. Here is his initial ECG (which was identical to his prehospital ECG) at 1517: There…
12 hours of Chest pain in a 40-something
A 40-something yo woman with several coronary risks but no history of coronary disease developed 10/10 “gnawing” retrosternal…
Missed Acute MI, with coronary occlusion, evidence only by T-wave inversion in V2 and evolving ST depression in V3
A 39 yo otherwise healthy man with no risk factors was walking at the mall when he developed chest pressure. He presented to the ED…
Missed STEMI, spontaneously reperfused
Click here for other very instructive cases of missed STEMI. This is a 48 yo female with no risk factors for CAD had sudden onset of arm…
35 yo woman with LAD occlusion manifesting with only hyperacute Ts and inferior ST depression, also missed by computer
Click here for other cases of missed STEMI. Click here for cases of early repolarization vs. LAD occlusion. A 35 yo woman had the sudden…
Very Subtle Inferior STE elevation seen only on 2nd ECG done 42 minutes later; Non STEMI with RCA occlusion
I’m having difficulty with the blogger software. It won’t let me place the ECG where I want it, so just know that the top ECG is…
ST depression limited to Inferior leads is reciprocal to high lateral wall and represents STEMI
When there is inferior ST depression, one is tempted to diagnose “inferior ischemia”. However (paradoxically and mysteriously)…