A 40-something male with epigastric pain
A 40-something male presented with epigastric pain. An ECG was recorded immediately (time zero): This was texted to me asking for my opinion.…
A 30-something woman with chest pain and h/o pulmonary hypertension due to chronic pulmonary emboli
A 30-something woman with known history of pulmonary hypertension due to chronic pulmonary emboli presented with 12 hours of substernal chest…
A 30-something with 8 hours of chest pain and an elevated troponin
I received this email: “Hi Steve, “I’m curious what you thought of these ECGs. They were on a 34 y/o with constant CP…
Chest pain, SOB, Precordial T-wave inversions, and positive troponin. What is the Diagnosis?
A male in his 60’s with med h/o only significant for HTN and hyperlipidemia presented for CP and SOB. On the day prior,…
Acute Dyspnea in a Middle Aged Male
A middle aged man with several CAD risk factors presented with one week of intermittent shortness of breath and then sudden severe…
Pseudo-Wellens’ Syndrome due to Left Ventricular Hypertrophy (LVH)
A 52 year old male presented with epigastric pain, continuing in the emergency department. He has a history of hypertension, and is on…
Wellens’ syndrome, no culprit, what happened?
A 55 yo male with h/o smoking complained of 4 days of intermittent chest pain lasting up to a few hours each day. He presented to the ED…
Reversible T-wave inversion — it reverses, then evolves, then reverses when ischemia is gone. Normalization of T-waves, NOT pseudonormalization.
A 62 yo male has had chest pain with exertion for 2 weeks. He began having chest pain at rest at 2AM, and presented at 7 AM. Here is his…
Pseudonormalization of Inferior T-waves
In a few days I will post a twist on pseudonormalization, but wanted to first post this classic case. This 49 year old male presented after an…
Wellens’ missed. Then returns with Wellens’ with dynamic T-wave inversion
This 53 year old woman presented with increasing intermittent substernal chest discomfort similar to her GERD, but not relieved by the usual…